ATI RN
Nclex Mental Health Practice Questions Questions
Question 1 of 5
The nurse is assessing the sleep patterns of a 70-year-old female client with a mental disorder. Based on the knowledge of circadian rhythms and the influence of age, which of the following would the nurse anticipate that the client would report about her sleep pattern?
Correct Answer: B
Rationale: The correct answer is B because as individuals age, their circadian rhythm tends to shift, resulting in feeling sleepier at night and more alert in the morning. This is known as advanced sleep phase syndrome, common in older adults.
Choice A is incorrect as age-related changes in circadian rhythm lead to feeling differences in morning and evening.
Choice C is incorrect as older adults often experience difficulty staying asleep rather than feeling sleepy in the morning.
Choice D is incorrect as the quality and quantity of sleep become more important with age due to changes in sleep patterns.
Question 2 of 5
A nurse is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care?
Correct Answer: A
Rationale: The correct answer is A: Draw a troponin level every four hours. Troponin levels are important indicators of myocardial infarction. Drawing troponin levels every four hours allows the nurse to closely monitor the client's cardiac enzyme levels for any signs of ongoing myocardial damage. This frequent monitoring helps in early detection of complications and guides further treatment decisions.
Explanation for why the other choices are incorrect:
B: Performance EKG every 12 hours - While EKG monitoring is important in assessing cardiac function, performing it every 12 hours may not be as frequent as needed in the acute phase post-myocardial infarction.
C: Plant oxygen tent fell over minutes via rebreather mask - This intervention does not directly address the client's recovery from myocardial infarction and is not a standard post-MI care measure.
D: Obtain a cardiac rehabilitation consult - While cardiac rehabilitation is essential for long-term recovery, it is not a point-of-care intervention immediately post-my
Question 3 of 5
A nurse is developing a teaching plan for a client with schizophrenia. Which method would the nurse use to be most effective?
Correct Answer: B
Rationale: The correct answer is B because having the client write down information after being directly given the correct information is most effective for clients with schizophrenia. This method helps reinforce learning through repetition and aids memory retention. Writing down information also allows the client to refer back to it for reinforcement.
A: Engaging the client in trial and error learning can be frustrating and overwhelming for someone with schizophrenia, leading to confusion.
C: Asking the client to guess at the correct answer may increase anxiety and decrease confidence, which can hinder the learning process.
D: Using colorful visual aids may be distracting and overwhelming for a client with schizophrenia, making it harder to focus on the information being presented.
Question 4 of 5
A couple is concerned that the husband's father may be developing depression. In questioning the couple, which of the following statements would support their concern?
Correct Answer: C
Rationale:
Step 1: The correct answer is C because it indicates a prolonged period of over 2 months of persistent symptoms such as crying, inability to eat or sleep.
Step 2: This prolonged duration of symptoms is indicative of a potential depressive episode.
Step 3: The inability to eat or sleep are common symptoms of depression.
Step 4: This statement highlights a significant change in the father's behavior following the mother's death, suggesting a possible depressive disorder.
Summary:
Choice A: The duration of symptoms is not as prolonged as in choice C.
Choice B: While agitation and anxiety can be symptoms of depression, they are not as specific or severe as the symptoms in choice C.
Choice D: The timeframe of symptoms mentioned here is not as long as in choice C, making it less concerning for depression.
Question 5 of 5
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
Correct Answer: B
Rationale: The correct answer is B, recognizing the signs of danger, as it is crucial to be able to identify potential threats before devising an escape plan or identifying safe places. By recognizing signs of danger, the client can proactively assess risky situations and take necessary precautions. This step is vital in ensuring the client's safety and preventing harm.
Option A, devising an escape route, would be ineffective if the client cannot recognize the signs of danger to know when to use the route. Option C, identifying a safe place to hide, is not as effective as recognizing signs of danger since hiding may not always be a viable solution. Option D, identifying a signal to indicate it is safe to leave, would not be effective if the client cannot accurately assess when it is safe to leave. Recognizing signs of danger is the foundational step in creating a comprehensive safety plan.