Questions 73

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric NCLEX RN Questions Questions

Extract:


Question 1 of 5

When planning the care for a client who is being abused, which of the following measures is most important to include?

Correct Answer: D

Rationale: Helping the client develop a safety plan is the most important measure, as it directly addresses the immediate need to protect the client and her children from further harm.

Question 2 of 5

The client is taking 50 mg of lamotrigine (Lamictal) daily for bipolar depression. The client shows the nurse a rash on his arm. What should the nurse do?

Correct Answer: A

Rationale: A rash with Lamictal may indicate a serious reaction like Stevens-Johnson syndrome, requiring immediate physician notification.

Question 3 of 5

A client with bipolar disorder, manic phase, is admitted to the unit. The nurse is developing a plan of care. Which of the following interventions is most appropriate to include in the plan?

Correct Answer: B

Rationale: A high-calorie diet with frequent snacks addresses increased energy expenditure in mania, supporting nutritional needs.

Question 4 of 5

During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?

Correct Answer: B

Rationale: The client's negative self-statements directly indicate chronic low self-esteem, a priority nursing diagnosis.

Question 5 of 5

Which of the following statements by the nurse participating in a group confrontation of a coworker's most helpful in reducing the coworker's denial about alcohol being a problem?

Correct Answer: D

Rationale: Saying 'You have alcohol on your breath' is most helpful, as it provides concrete evidence of the problem, directly challenging denial in a factual manner.

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