ATI RN
Nclex Mental Health Practice Questions Questions
Question 1 of 5
A client's husband is visiting his wife during visiting hours. A nurse walking by hears him verbally abuse the client. Which nursing response is appropriate?
Correct Answer: B
Rationale: The correct answer is B because reminding the client's husband of the unit rules is the appropriate nursing response in this situation. This action sets clear boundaries and addresses the inappropriate behavior directly. Asking the client to ask her husband to leave (Option
A) puts the burden on the client and may escalate the situation. Asking the husband to come to the nurse's station (Option
C) may not address the immediate need to address the abusive behavior. Sitting with the client and her husband to discuss anger issues (Option
D) is not appropriate at this time as it does not address the immediate need to stop the verbal abuse.
Question 2 of 5
Graciela is a sixty-three-year-old woman who recently became the primary caregiver for her husband who had a stroke. She tells her husband's nurse that she has been feeling lonely and sad lately and that none of her friends seem to understand what she is going through. What community resource would best benefit Graciela?
Correct Answer: D
Rationale: The correct answer is D: a support group for adult caregivers. Graciela is experiencing feelings of loneliness and sadness due to her new role as a caregiver for her husband. A support group for adult caregivers would provide her with a community of individuals who are going through similar experiences, offering emotional support, understanding, and coping strategies. This resource can help Graciela feel less isolated and more supported in her caregiving journey.
Choice A (the local food pantry) does not address Graciela's emotional needs and is not directly related to her situation as a caregiver.
Choice B (a rideshare service) is focused on transportation to church and does not address Graciela's feelings of loneliness and sadness.
Choice C (a social worker for subsidized housing) does not specifically address Graciela's emotional well-being and may not provide the necessary support for her current situation as a caregiver.
Question 3 of 5
A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
Correct Answer: D
Rationale:
Step 1: Identify the conflicting viewpoints - The patient believes in the right to die, while the nurse opposes this view.
Step 2: Analyze the underlying values - The patient prioritizes autonomy, while the nurse emphasizes the sanctity of life.
Step 3: Evaluate the correctness of each viewpoint - Both perspectives have validity based on individual values and beliefs.
Step 4: Determine the best analysis -
Choice D, "Differing values are reflected in the two statements," is correct as it acknowledges the clash of values without dismissing either perspective.
Question 4 of 5
When considering the pathophysiology responsible for both delirium and dementia, which intervention is appropriate for delirium specifically?
Correct Answer: B
Rationale: The correct answer is B: Monitor neurological status on an ongoing basis. Delirium is characterized by acute changes in cognition and attention, necessitating continuous monitoring of neurological status to detect any fluctuations or worsening. This allows for prompt intervention and management to prevent complications.
A: Assisting with basic needs is important but not specific to delirium management.
C: Placing an identification bracelet does not directly address the cognitive changes seen in delirium.
D: Giving simple directions is helpful, but monitoring neurological status is more crucial for managing delirium.
Question 5 of 5
A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.
Correct Answer: C
Rationale:
Correct Answer: C. Assess the patient's weight; determine foods and amounts eaten.
Rationale: The best initial action is to assess the patient's nutritional status by evaluating weight and food intake. This step helps identify potential malnutrition or other health issues related to the patient's eating habits. By understanding the patient's dietary patterns, the nurse can develop a targeted intervention plan to address the patient's physical health needs. This approach focuses on gathering essential information before making any further decisions or interventions.
Summary of Other
Choices:
A: Exploring ways to help the patient stop smoking is important but addressing the patient's nutritional needs takes precedence.
B: Reporting to the shelter manager may not directly address the patient's health concerns and may not lead to appropriate intervention.
D: Hospitalization should be considered only if there is an immediate threat to the patient's health and after a comprehensive assessment has been conducted.