NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
The history of a female client who has just been admitted to the unit and is very depressed reveals a weight loss of 10 lb in 2 weeks, sleeping 3 hours a night, and poor hygiene. The client states, 'I'm no good to anyone. Everyone would be better off without me.' Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: Directly asking about suicidal thoughts is critical given the client's statement and symptoms.
Question 2 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.
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
The nurse identifies a nursing diagnosis of Dressing or grooming self-care deficit related to apathy, as evidenced by an inability to shower and dress herself for a female client diagnosed with schizophrenia. When planning care for this client, which of the following outcomes should the nurse expect the client to meet in a specified number of days?
Correct Answer: D
Rationale: The outcome of performing showering and dressing addresses the self-care deficit directly, focusing on functional improvement, which is the goal of the nursing diagnosis.
Question 5 of 5
When developing a teaching plan for a client about the medications prescribed for depression, which of the following components is most important for the nurse to include?
Correct Answer: B
Rationale: Educating about side effects and when to report them ensures safety and adherence.