ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 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.
Question 2 of 5
A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days and has unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst. The son says, 'I've never seen him act this way.' Which question would be most appropriate for the nurse to ask next?
Correct Answer: C
Rationale: The correct answer is C: "Has your father suffered any traumatic injury to his brain recently?" This question is most appropriate because sudden changes in behavior, unprovoked anger outbursts, and subsequent remorse could be indicative of a traumatic brain injury (TBI). TBIs can lead to various cognitive and emotional changes. It is crucial to investigate if there has been any recent head trauma that could explain the sudden behavioral changes.
Choice A is incorrect because panic disorder typically presents with recurrent panic attacks and not necessarily unprovoked anger outbursts.
Choice B is incorrect as it focuses on anger expression issues rather than potential brain injury.
Choice D is incorrect as it only pertains to a recent physical injury to the head or neck, which may not necessarily explain the behavioral changes observed.
Question 3 of 5
A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Disturbed Body Image. This is the priority nursing diagnosis for a client with body dysmorphic disorder because it directly addresses the client's preoccupation and distress related to perceived flaws in appearance. By addressing the disturbed body image, the nurse can help the client work through these feelings and improve self-perception.
Choice B: Ineffective Coping may be relevant but addressing the underlying body image distortion is crucial.
Choice C: Low Self-Esteem is a common issue with body dysmorphic disorder but improving body image perception is more specific.
Choice D: Risk for Other-Directed Violence is not directly related to body dysmorphic disorder symptoms.
In summary, addressing the core issue of distorted body image is the priority in caring for a client with body dysmorphic disorder.
Question 4 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 5 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.