NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A pregnant client in her third trimester is started on chlorpromazine (Thorazine) 25 mg four times daily. Which of the following instructions is most important for the nurse to include in the client's teaching plan?
Correct Answer: B
Rationale: Chlorpromazine can cause photosensitivity, a significant risk during pregnancy, making sun protection critical to prevent skin damage, which is more immediate than the other options.
Question 2 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 3 of 5
When collaborating with the health care provider to develop a the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which the following?
Correct Answer: D
Rationale: ADHD is typically treated with psychostimulants like methylphenidate, combined with behavior modification, to manage symptoms effectively.
Question 4 of 5
When working with a group of adult survivors of childhood sexual abuse, dealing with anger and rage is a major focus. Which strategy should the nurse expect to be successful? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Symbolic confrontation, journaling, and writing unsent letters are therapeutic strategies that help process anger safely. Direct confrontation is generally not recommended due to potential for re-traumatization.
Question 5 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.