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NCLEX RN Questions on Psychiatric Nursing Questions

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Question 1 of 5

A client with Alzheimer's disease is at risk for dehydration. Which intervention is most effective?

Correct Answer: A

Rationale: Offering fluids frequently in small amounts ensures hydration without overwhelming the client.

Question 2 of 5

The client with acute mania is prescribed 600 mg of lithium (lithium carbonate) P.O. three times per day. The physician also orders 5 mg of haloperidol (Haldol) P.O. at bedtime. Which action should the nurse take?

Correct Answer: A

Rationale: The combination of lithium and haloperidol is appropriate for acute mania to stabilize mood and reduce agitation.

Question 3 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 4 of 5

A nurse in an Employee Assistance Program (EAP) is seeing a woman who wants to report her boss to the police for sexual harassment. She states he says that she will be a friend... [incomplete]. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Advising the client to document incidents provides evidence for reporting and empowers her to take action, which is appropriate in an EAP context. Confrontation may be unsafe, immediate legal referral is premature without documentation, and dismissing her concerns is invalidating.

Question 5 of 5

When planning interventions for parents who are abusive, the nurse should incorporate knowledge of which factor as a common parental indicator?

Correct Answer: C

Rationale: Low self-esteem is a common indicator in abusive parents, contributing to their difficulty managing stress and emotions.

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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.
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