NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
Which of the following should lead the nurse to suspect that a client is addicted to heroin?
Correct Answer: D
Rationale: Hypoactivity is a sign of heroin addiction, as it causes sedation and reduced activity, especially during intoxication or withdrawal phases.
Question 2 of 5
When planning interventions for parents who are abusive, the nurse should incorporate knowledge of which factor as a common parental indicator?
Correct Answer: C
Rationale: Low self-esteem is a common indicator in abusive parents, contributing to their difficulty managing stress and emotions.
Question 3 of 5
The client is fidgeting and has trouble sitting still. He has difficulty concentrating and is tangential. Which of the following interventions should help manage this client's level of anxiety? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Managing anxiety involves refocusing attention, allowing ventilation, suggesting time-outs, and assisting with problem solving. IM medication is a last resort.
Question 4 of 5
When developing a teaching plan for the community about managed care models and their effect on clients with chronic mental illnesses, which of the following factors should the nurse include as detrimental to this population? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All listed factors limit access to care, reduce treatment options, and hinder community integration, negatively impacting clients with chronic mental illnesses.
Question 5 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.