ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 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 2 of 5
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's closet is locke These observations relate to
Correct Answer: B
Rationale: The correct answer is B, management of milieu safety. This is because the nurse's observations pertain to ensuring a safe and secure environment within the psychiatric unit. Checking for unobstructed exits, no smoking, and a locked janitor's closet are all crucial aspects of maintaining a safe milieu for patients. A: Coordinating care of patients is not directly related to the observations mentioned. C: Management of the interpersonal climate focuses on relationships and communication among patients and staff, not physical safety measures. D: The use of therapeutic intervention strategies involves treatment modalities and interventions for patient care, which is not the primary focus of the nurse's observations.
Question 3 of 5
A nurse wants to enhance growth of a patient by showing positive regar The nurse's action most likely to achieve this goal is
Correct Answer: B
Rationale: Step-by-step rationale for choosing answer B: 1. Positive regard involves showing empathy and support. 2. Staying with a tearful patient shows empathy and emotional support. 3. Emotional support can enhance patient growth and well-being. 4. Making rounds, administering medication, and examining personal feelings do not directly show empathy or emotional support. Summary: - Choice A is incorrect as making rounds is a routine task, not focused on emotional support. - Choice C is incorrect as administering medication is a clinical task, not centered on emotional support. - Choice D is incorrect as examining personal feelings does not directly provide emotional support to the patient.
Question 4 of 5
An emergency code was called after a patient pulled a knife from a pocket and threatened, 'I will kill anyone who tries to get near me.' The patient was safely disarmed and placed in seclusion. Justification for use of seclusion was that the patient
Correct Answer: D
Rationale: The correct answer is D because the patient's action of pulling out a knife and making a threat demonstrated a clear and present danger to others. The patient's behavior posed an immediate risk to the safety of those around them, necessitating urgent intervention for the protection of others. A: While the patient was indeed threatening to others, the severity of the threat, involving a weapon, indicated a higher level of danger. B: Psychosis alone may not always indicate an immediate danger to others unless accompanied by specific threatening behavior. C: While escape risk is a consideration, the primary concern in this scenario was the patient's potential harm to others, justifying seclusion for safety reasons.
Question 5 of 5
A patient who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The patient continues to need routine psychiatric services. The nurse anticipates that this patient will most likely be referred to which of the following?
Correct Answer: C
Rationale: The correct answer is C: Intensive outpatient program. This option is most appropriate as the patient still requires ongoing psychiatric services but does not need the level of care provided in a partial hospitalization program. In-home mental health care may not provide the structured support needed. Crisis center in the community is more for immediate intervention, not ongoing care. The intensive outpatient program offers a balance of support and independence for the patient transitioning back to school.