NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is started on lurasidone (Latuda). Which instruction is most important?
Correct Answer: A
Rationale: Lurasidone should be taken with food to enhance absorption, ensuring therapeutic effectiveness.
Question 2 of 5
A 12-year-old girl has been diagnosed with oppositional defiant disorder. She is observed by the nurse on the unit kissing two of the male clients. Given the client's developmental level and diagnosis, the nurse should respond in which of the following ways? Select all that apply.
Correct Answer: A,B
Rationale: These responses address the inappropriate behavior while providing education on appropriate boundaries, suitable for her diagnosis and age.
Question 3 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 4 of 5
A client with schizophrenia is started on lurasidone (Latuda). Which instruction is most important?
Correct Answer: A
Rationale: Lurasidone should be taken with food to enhance absorption, ensuring therapeutic effectiveness.
Question 5 of 5
A client who was transferred to the medical unit from intensive care after suffering a myocardial infarction 3 days ago states, 'My secretary should be here by now. I don't have time to lie around here and do nothing. I've never had time to relax, and I don't plan on starting now.' Based on this initial information, which of the following nursing diagnoses should the nurse judge to be of least importance?
Correct Answer: C
Rationale: Hopelessness is least supported by the client's statement, which focuses on impatience and resistance to relaxation rather than despair. Ineffective coping, deficient knowledge, and anxiety are more directly evidenced by her statements about not relaxing and expecting her secretary.