1
NCLEX Practice Exam for Psychiatric Nursing
1. When parents express concerns about their ability to care for a child with
R
maladaptive behaviors, Nurse Thompson needs to identify an appropriate
E
nursing diagnosis. Based on the parents' apprehensions, which nursing
diagnosis is most suitable?
GH
I
A. Parental Role Conflict
H
B. Ineffective Health Maintenance
G
C. Risk for Injury
IN
D. Social Isolation
Y
EXPLANATION
FL
✔Correct answer:
, 2
Parental Role Conflict. Parental Role Conflict is the most appropriate nursing
diagnosis for parents who express concerns about their ability to care for a child
with maladaptive behaviors. This diagnosis addresses the stress and uncertainty
parents may feel regarding their roles and responsibilities in managing their
R
child's needs. It reflects the internal and external conflicts they may experience in
E
balancing their parental duties and their own well-being.
GH
I
Imagine trying to juggle several fragile items at once. The fear of dropping one or
not being able to manage them all creates a sense of conflict and stress.
H
Similarly, parents may feel overwhelmed and conflicted about how to best care
G
for their child while managing their own stress and responsibilities.
IN
Y
Nurse Thompson should provide support and education to the parents, helping
L
them develop effective strategies to manage their child's behavior. This includes
F
teaching coping skills, providing resources for additional support, and
encouraging open communication within the family. Addressing Parental Role
Conflict can help parents feel more confident and capable in their caregiving
roles.
, 3
✘Incorrect answer options:
ER
H
Ineffective Health Maintenance This diagnosis is more appropriate for individuals
who have difficulty managing their own health needs. It does not specifically
IG
address the concerns related to parenting a child with maladaptive behaviors.
GH
Risk for Injury This diagnosis would be suitable if there were concerns about the
N
child's safety or if the child's behaviors posed a risk of physical harm. However, it
I
does not capture the parents' feelings of inadequacy or conflict in their roles.
LY
F
Social Isolation While social isolation can be a concern for families dealing with
maladaptive behaviors, it is not the primary issue expressed by the parents in
this scenario. The primary concern is their ability to manage and fulfill their
parental role effectively.
, 4
.
ER
H
2. When addressing school phobia in children, Nurse Thompson is exploring
effective treatment strategies. Which approach is commonly recommended for
IG
treating school phobia?
GH
A. Reintroducing the child to school immediately with support from family
N
members.
I
B. Allowing a parent to stay with the child in the classroom.
Y
C. Permitting the child to enter the school before other students arrive.
FL
D. Patiently explaining the importance of attending school.
EXPLANATION
NCLEX Practice Exam for Psychiatric Nursing
1. When parents express concerns about their ability to care for a child with
R
maladaptive behaviors, Nurse Thompson needs to identify an appropriate
E
nursing diagnosis. Based on the parents' apprehensions, which nursing
diagnosis is most suitable?
GH
I
A. Parental Role Conflict
H
B. Ineffective Health Maintenance
G
C. Risk for Injury
IN
D. Social Isolation
Y
EXPLANATION
FL
✔Correct answer:
, 2
Parental Role Conflict. Parental Role Conflict is the most appropriate nursing
diagnosis for parents who express concerns about their ability to care for a child
with maladaptive behaviors. This diagnosis addresses the stress and uncertainty
parents may feel regarding their roles and responsibilities in managing their
R
child's needs. It reflects the internal and external conflicts they may experience in
E
balancing their parental duties and their own well-being.
GH
I
Imagine trying to juggle several fragile items at once. The fear of dropping one or
not being able to manage them all creates a sense of conflict and stress.
H
Similarly, parents may feel overwhelmed and conflicted about how to best care
G
for their child while managing their own stress and responsibilities.
IN
Y
Nurse Thompson should provide support and education to the parents, helping
L
them develop effective strategies to manage their child's behavior. This includes
F
teaching coping skills, providing resources for additional support, and
encouraging open communication within the family. Addressing Parental Role
Conflict can help parents feel more confident and capable in their caregiving
roles.
, 3
✘Incorrect answer options:
ER
H
Ineffective Health Maintenance This diagnosis is more appropriate for individuals
who have difficulty managing their own health needs. It does not specifically
IG
address the concerns related to parenting a child with maladaptive behaviors.
GH
Risk for Injury This diagnosis would be suitable if there were concerns about the
N
child's safety or if the child's behaviors posed a risk of physical harm. However, it
I
does not capture the parents' feelings of inadequacy or conflict in their roles.
LY
F
Social Isolation While social isolation can be a concern for families dealing with
maladaptive behaviors, it is not the primary issue expressed by the parents in
this scenario. The primary concern is their ability to manage and fulfill their
parental role effectively.
, 4
.
ER
H
2. When addressing school phobia in children, Nurse Thompson is exploring
effective treatment strategies. Which approach is commonly recommended for
IG
treating school phobia?
GH
A. Reintroducing the child to school immediately with support from family
N
members.
I
B. Allowing a parent to stay with the child in the classroom.
Y
C. Permitting the child to enter the school before other students arrive.
FL
D. Patiently explaining the importance of attending school.
EXPLANATION
