ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 5
A nurse is part of a team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask?
Correct Answer: B
Rationale: The correct answer is B: "What are your thoughts about what you will do during the next few days?" This question is appropriate as it assesses the victim's cognitive coping abilities and future planning, providing insight into their mental state and need for support. It focuses on the victim's thoughts and intentions, which are crucial in understanding their coping mechanisms. Choice A is too broad and may not directly assess cognitive coping abilities. Choice C focuses on emotions rather than cognitive coping strategies. Choice D introduces the concept of survivor's guilt, which may not be relevant or suitable for initial assessment of cognitive coping.
Question 2 of 5
The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?
Correct Answer: A
Rationale: The correct answer is A: Risk for Other-Directed Violence. This diagnosis is the priority because individuals with antisocial personality disorder often display behaviors such as irritability, aggressiveness, and callousness towards others. This places them at a higher risk for exhibiting violent behaviors directed towards others. It is crucial for the nurse to prioritize assessing and managing this risk to ensure the safety of both the client and others. Summary of why the other choices are incorrect: B: Risk for Self-Injury - Individuals with antisocial personality disorder are more likely to harm others rather than themselves. C: Risk for Suicide - Antisocial personality disorder is not typically associated with an increased risk for suicide. D: Risk for Self-Directed Violence - Individuals with antisocial personality disorder are more inclined towards externalizing behaviors rather than self-directed violence.
Question 3 of 5
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.
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
The nurse is developing a plan of care for a client with chronic pain caused by osteoarthritis. The client's pain has been severe and prolonged. Which of the following would the nurse identify as a priority assessment?
Correct Answer: D
Rationale: The correct answer is D: Depression. Depression is a common comorbidity with chronic pain and can exacerbate the client's overall condition. The nurse should prioritize assessing for depression as it can impact the client's pain management, adherence to treatment, and overall quality of life. Grief, panic disorder, and bulimia are important considerations but may not directly impact the client's chronic pain management as significantly as depression. It is crucial for the nurse to address the client's mental health needs to provide holistic care and improve outcomes.