NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client diagnosed with bipolar disorder asks the nurse why it is necessary to have a serum lithium level drawn every 3 to 4 months. The nurse's response should be based on which of the following?
Correct Answer: B
Rationale: Regular lithium levels prevent toxicity due to its narrow therapeutic range (0.6–1.2 mEq/L).
Question 2 of 5
During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?
Correct Answer: B
Rationale: The client's negative self-statements directly indicate chronic low self-esteem, a priority nursing diagnosis.
Question 3 of 5
The nurse is planning an eating disorder protocol for hospitalized clients experiencing bulimia and anorexia. Which elements should be included in the protocol? Select all that apply.
Correct Answer: A,B,D
Rationale: These elements prevent hiding food, purging, or obsessing over weight, which are critical for treatment.
Question 4 of 5
The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which of the following statements by the mother indicates that she understands her daughter's illness and management?
Correct Answer: B
Rationale: Understanding that basic tasks like getting out of bed and showering may be challenging reflects accurate knowledge of the negative symptoms of schizophrenia and their impact on daily functioning.
Question 5 of 5
A client diagnosed with bipolar disorder asks the nurse why it is necessary to have a serum lithium level drawn every 3 to 4 months. The nurse's response should be based on which of the following?
Correct Answer: B
Rationale: Regular lithium levels prevent toxicity due to its narrow therapeutic range (0.6–1.2 mEq/L).