ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 9
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 2 of 9
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 9
An older adult is complaining of anxiety is prescribed diazepam (Valium) by a family physician. The physician asks the office nurse to explain the problematic side effects of this medication to the patient. Which instruction would be most important for the nurse to emphasize about this drug?
Correct Answer: D
Rationale: The correct answer is D: "You may feel dizzy and be prone to falls after taking this medication." Rationale: 1. Diazepam (Valium) is a benzodiazepine known to cause dizziness and drowsiness as common side effects. 2. Dizziness can increase the risk of falls, especially in older adults who may already have balance issues. 3. Falls can lead to serious injuries in older adults, making it crucial for the nurse to emphasize this risk. 4. Minor urine incontinence (choice A) is not a common side effect of diazepam. 5. Temporary memory disturbances (choice B) are possible but not as critical as the risk of falls. 6. Dependence (choice C) is a potential issue with benzodiazepines but may not be the most immediate concern in this scenario.
Question 4 of 9
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 5 of 9
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 6 of 9
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.
Question 7 of 9
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 8 of 9
A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is addressing the group. Which of the following is an example of reaction formation?
Correct Answer: D
Rationale: Reaction formation is a defense mechanism where a person behaves in a way that is opposite to their true feelings or impulses. In this scenario, choice D demonstrates reaction formation because the client is expressing a belief that people who steal are lazy and should earn money honestly, which is opposite to their own behavior of stealing. This behavior helps the client deny their true feelings of guilt or shame about their actions. Choices A, B, and C do not exhibit reaction formation as they do not involve expressing beliefs or behaviors opposite to their true feelings or impulses.
Question 9 of 9
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.