ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 5
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
Correct Answer: B
Rationale: The correct answer is B: Assessment. In the Calgary Family Model, the Assessment stage involves identifying and understanding the problems within the family system. This is where the nurse gathers information about the family's strengths, resources, and challenges. The nurse assesses the family's structure, communication patterns, roles, and interactions to develop a comprehensive understanding of the family dynamics. Engaging with the family (Choice A) occurs before the Assessment stage. Intervention (Choice C) comes after the Assessment stage when specific strategies are implemented. Termination (Choice D) is the final stage when the nurse concludes their work with the family.
Question 2 of 5
A client with schizophrenia is prescribed clozapine because other prescribed medications have been ineffective. After teaching the client and family about the drug, the nurse determines that the teaching was successful when they state which of the following?
Correct Answer: B
Rationale: The correct answer is B: "We'll need to make sure that he has his blood count checked at least weekly." Rationale: 1. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. 2. Monitoring blood counts weekly is crucial to detect early signs of agranulocytosis and intervene promptly. 3. Regular blood count monitoring allows for timely adjustments in medication dosage to prevent serious complications. Summary: A: Although monitoring the client's heart is important, regular electrocardiograms are not specifically required for clozapine. C: Smoking does affect clozapine levels, but this choice does not address the crucial need for blood count monitoring. D: Weight loss is a potential side effect of clozapine, but it is not the most critical monitoring parameter for this medication.
Question 3 of 5
A woman diagnosed with obsessive-compulsive disorder comes to the clinic with her husband. During the visit, the husband states, She's always checking and rechecking to make sure that all of the appliances are turned off before we go out. It's nerve-wracking. We can never get out of the house on time. Isn't checking once enough? An understanding of which of the following would the nurse need to incorporate into the response?
Correct Answer: B
Rationale: The correct answer is B: The client performs the ritual to relieve anxiety temporarily. In obsessive-compulsive disorder, repetitive behaviors such as checking are done to alleviate distress or anxiety, providing temporary relief. This behavior is a coping mechanism to manage overwhelming feelings of anxiety. The husband's observation of the wife's constant checking behavior indicates that she is engaging in this ritual to reduce her anxiety. Understanding this aspect is crucial for the nurse to provide appropriate support and interventions to help the client manage her symptoms effectively. Choice A (The client is attempting to exert control over the situation) is incorrect because the primary motivation behind compulsive behaviors in OCD is not about exerting control but rather reducing anxiety. Choice C (The woman's behavior reflects a need for safety) is incorrect as the main driver behind OCD behaviors is not necessarily related to safety concerns but rather to managing anxiety. Choice D (The woman is attempting to use thought stopping to decrease her behavior) is incorrect because thought stopping is a cognitive technique that is
Question 4 of 5
A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Disturbed Body Image. This is the priority nursing diagnosis for a client with body dysmorphic disorder because it directly addresses the client's preoccupation and distress related to perceived flaws in appearance. By addressing the disturbed body image, the nurse can help the client work through these feelings and improve self-perception. Choice B: Ineffective Coping may be relevant but addressing the underlying body image distortion is crucial. Choice C: Low Self-Esteem is a common issue with body dysmorphic disorder but improving body image perception is more specific. Choice D: Risk for Other-Directed Violence is not directly related to body dysmorphic disorder symptoms. In summary, addressing the core issue of distorted body image is the priority in caring for a client with body dysmorphic disorder.
Question 5 of 5
The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client's instrumental activities of daily living, which question would be most appropriate to ask?
Correct Answer: D
Rationale: The correct answer is D because assessing the client's ability to go to the store and buy groceries directly evaluates their instrumental activities of daily living (IADLs), which are crucial for independent living. This question helps determine the client's mobility, cognitive function, and ability to manage finances and nutrition. Choices A and B focus more on basic activities of daily living (ADLs) related to personal hygiene and clothing changes. Choice C is related to cooking meals, which is also an IADL but may not provide as comprehensive information about the client's overall independence compared to the ability to shop for groceries.