ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Insight-oriented therapy. This type of therapy focuses on exploring the underlying causes of behavior, emotions, and thoughts, which may not be effective for clients with delusional disorder. Clients with delusional disorder often have fixed false beliefs that are not amenable to insight-oriented therapy.
B: Psychoeducation is important in helping clients and their families understand the disorder, its symptoms, and treatment options.
C: Cognitive therapy helps clients identify and challenge irrational beliefs and thought patterns, which can be beneficial in managing delusions.
D: Support therapy provides emotional support and coping strategies for clients, which is crucial in managing symptoms of delusional disorder.
In summary, insight-oriented therapy may not be as effective for clients with delusional disorder compared to psychoeducation, cognitive therapy, and support therapy, which are more suitable interventions for this population.
Question 2 of 5
Which can be described as an example of an oversimplified or undifferentiated belief?
Correct Answer: D
Rationale: The correct answer is D because it represents an oversimplified and undifferentiated belief by generalizing all alcoholics as "skid-row bums." This statement fails to acknowledge the diversity and complexity of individuals struggling with alcohol use disorder. It overlooks the fact that alcoholism can affect people from all walks of life, regardless of their socioeconomic status. In contrast, choices A, B, and C provide more nuanced and accurate perspectives on alcohol use disorder, emphasizing factors such as disease model, treatment methods, and spiritual beliefs that can aid in recovery.
Question 3 of 5
What statement best describes the development of user groups in the digital age?
Correct Answer: C
Rationale: The correct answer is C because user groups in the digital age have indeed evolved to utilize digital platforms for broader reach and acquiring digital health information. This evolution allows users to connect with a wider audience and access a vast amount of health-related information online. User groups are no longer limited by geographic boundaries and can provide support and resources to individuals regardless of their location.
Choice A is incorrect because user groups have not decreased in number but rather expanded due to technology.
Choice B is incorrect as user groups can serve various purposes, including health-care support.
Choice D is incorrect as user groups continue to play a significant role in providing support and information to individuals seeking help in the digital age.
Question 4 of 5
While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type?
Correct Answer: C
Rationale: The correct answer is C: NMDA receptor antagonist. Memantine is a medication used in the treatment of Alzheimer's disease by blocking the NMDA receptors, which helps regulate glutamate activity in the brain. This action can improve cognitive function in individuals with dementia.
Choice A (Atypical antipsychotic) is incorrect because memantine is not classified as an antipsychotic medication.
Choice B (Cholinesterase inhibitor) is incorrect because while cholinesterase inhibitors are also used in treating Alzheimer's disease, memantine works through a different mechanism by targeting NMDA receptors.
Choice D (Benzodiazepine) is incorrect because benzodiazepines are not typically used in the treatment of Alzheimer's disease.
Question 5 of 5
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's han Select the correct analysis of the nurse's behavior.
Correct Answer: B
Rationale: The correct answer is B because during the first interview with a grieving parent, it is crucial to be sensitive to the patient's cultural and individual interpretation of touch. By reaching out to take the patient's hand, the nurse may unintentionally make the patient uncomfortable or feel intruded upon. It is important to establish trust and rapport first before physical touch is initiated. This approach respects the patient's boundaries and preferences, promoting a more effective therapeutic relationship.
Incorrect answers:
A: While empathy and compassion are important, premature physical touch may not always be well-received by the patient.
C: Assuming the patient will perceive the gesture as intrusive is a generalization. However, it is important to be cautious and respect the patient's boundaries.
D: This answer is not relevant to the scenario provided and does not address the cultural sensitivity and individual interpretation of touch.