NCLEX-RN
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.