ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 5
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
Correct Answer: B
Rationale: The correct answer is B: Assessment. In the Calgary Family Model, the Assessment stage involves identifying and understanding the problems within the family system. This is where the nurse gathers information about the family's strengths, resources, and challenges. The nurse assesses the family's structure, communication patterns, roles, and interactions to develop a comprehensive understanding of the family dynamics. Engaging with the family (
Choice
A) occurs before the Assessment stage. Intervention (
Choice
C) comes after the Assessment stage when specific strategies are implemented. Termination (
Choice
D) is the final stage when the nurse concludes their work with the family.
Question 2 of 5
Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment?
Correct Answer: C
Rationale: The correct answer is C: "We've installed locks on all the outside doors." This statement shows an understanding of the need to prevent the patient with dementia from wandering off and getting lost or injured. Installing locks on outside doors helps to ensure the patient's safety by limiting their ability to leave the house unsupervised. This measure is crucial in providing a secure environment for someone with dementia.
Explanation:
A: The statement about the local police knowing the patient has wandered off before does not address the immediate need to prevent wandering and ensure safety.
B: Keeping the noise level low in the house may be helpful for a patient with dementia, but it does not directly address the safety concern of wandering.
D: Attaching the telephone number to the patient's shirt pocket is a good safety measure, but it does not address the primary concern of preventing the patient from wandering off.
Question 3 of 5
A client diagnosed with schizophrenia is about to be discharged and is facing the stressor of acquiring independent employment. Using a behavioral approach, which nursing intervention is most appropriate in meeting this client's needs?
Correct Answer: B
Rationale: The correct answer is B: Role-playing a job interview with the client. This intervention aligns with the behavioral approach by providing the client with practical skills to address the stressor of acquiring independent employment. Role-playing allows the client to practice and improve their interview skills, enhancing their confidence and ability to secure a job.
A: Teaching the client to "thought block" auditory hallucinations is more aligned with cognitive-behavioral approaches and not directly related to employment needs.
C: Advocating for adequate housing is important but not directly addressing the client's need for employment.
D: Discussing the use of prn medications focuses on symptom management rather than improving the client's ability to secure employment.
Question 4 of 5
What is the term for clients' movement between treatment settings?
Correct Answer: D
Rationale: The correct answer is D: transition of care. Transition of care refers to clients moving between treatment settings, ensuring continuity and coordination of care. Rehospitalization (
A) specifically refers to clients being admitted back to the hospital. Adverse event (
B) refers to harm resulting from medical care. Readmission (
C) is similar to rehospitalization, specifically indicating clients being admitted back to a hospital after a previous discharge. Transition of care (
D) is the most appropriate term as it encompasses the movement of clients between various healthcare settings beyond just hospitals.
Question 5 of 5
The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client's instrumental activities of daily living, which question would be most appropriate to ask?
Correct Answer: D
Rationale: The correct answer is D because assessing the client's ability to go to the store and buy groceries directly evaluates their instrumental activities of daily living (IADLs), which are crucial for independent living. This question helps determine the client's mobility, cognitive function, and ability to manage finances and nutrition.
Choices A and B focus more on basic activities of daily living (ADLs) related to personal hygiene and clothing changes.
Choice C is related to cooking meals, which is also an IADL but may not provide as comprehensive information about the client's overall independence compared to the ability to shop for groceries.