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NCLEX RN Questions on Psychiatric Nursing Questions

Extract:


Question 1 of 5

A client diagnosed with Post Traumatic Stress Disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. 'My dad would be on top of me trying to have sex with me. I couldn't breathe.' Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.

Correct Answer: A,B,D

Rationale: Relaxation techniques, quetiapine, and journaling can help manage insomnia. Radio noise may disrupt sleep.

Question 2 of 5

When developing a teaching plan for the community about managed care models and their effect on clients with chronic mental illnesses, which of the following factors should the nurse include as detrimental to this population? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: All listed factors limit access to care, reduce treatment options, and hinder community integration, negatively impacting clients with chronic mental illnesses.

Question 3 of 5

A nurse is counseling a client with cancer who is experiencing anxiety. Which goal will provide the best long-term client outcome?

Correct Answer: C

Rationale: Taking medication as prescribed ensures ongoing management of anxiety, contributing to long-term stability. Keeping psychiatric appointments and understanding medication effects are important but less comprehensive, and solving problems independently is unrealistic and not necessarily beneficial for long-term outcomes.

Question 4 of 5

A client experiencing acute mania has been taking lithium carbonate 600 mg P.O. three times daily for 14 days. The client's serum lithium level is 1.8 mEq/L. The nurse should:

Correct Answer: A

Rationale: A lithium level of 1.8 mEq/L is toxic; holding the dose, notifying the provider, and increasing fluids are critical.

Question 5 of 5

A suspicious client states, 'I know you nurses are spraying my food with poison as you take it out of the cart.' Which of the following actions would most likely be successful?

Correct Answer: A

Rationale: Serving sealed foods addresses the client's delusion about poisoning in a practical, non-confrontational way, increasing the likelihood of the client eating.

Similar Questions

The client states to the nurse at the outpatient clinic, 'I don't feel ready to go back to work. It's only been a week since I left the hospital.' Assessment reveals a flat affect, disheveled appearance, poor posture, and minimal eye contact during interaction. The nurse asks the client whether he is thinking about harming himself. The client tells the nurse he has a loaded revolver at home and will probably use it. Which of the following should the nurse do next?
The nurse is planning care for a group of clients. Which client should the nurse identify as needing the most assistance in accepting being ill?
The client tells the nurse at the outpatient clinic that she doesn't need to attend groups because she's 'not a regular like these other people here.' Which of the following responses by the nurse is most appropriate?
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:
A client with symptoms of amphetamine psychosis that are improving is anxious and still experiencing some delusions. When developing the client's plan of care, which of the following measures should the nurse include?

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