ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 5
A nursing student states to the instructor,"I'm afraid of clients with mental illness. They are all violent." Which of the following statements would the instructor use to clarify this perception for the student? Select all that apply.
Correct Answer: B
Rationale:
Rationale:
1.
Choice B is correct as it addresses the misconception by stating that only a very few clients with mental illness exhibit violent behaviors, helping the student understand that violence is not a common trait among all clients with mental illness.
2.
Choice A is incorrect as it perpetuates the misconception by suggesting that most clients with mental illness are violent, even though de-escalation techniques can be used.
3.
Choice C is incorrect as it implies that medications are the sole solution to prevent violent behaviors, which is not always the case.
4.
Choice D is incorrect as it oversimplifies the issue by suggesting that only paranoid clients exhibit violent behaviors, which is not true for all clients with mental illness.
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
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding that nonverbal cues can provide additional insights into a patient's true feelings or thoughts.
Choice A is incorrect as it simply states a general observation without emphasizing the significance of nonverbal cues.
Choice C is incorrect because assuming a patient's emotions based solely on body posture is not accurate or reliable.
Choice D is incorrect as it undervalues the importance of nonverbal communication in understanding the complete message being conveyed.
Question 4 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 5 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.