ATI RN
Nclex Practice Questions Mental Health Questions
Question 1 of 5
A nurse who is working as part of an interdisciplinary team is looking at potential outpatient services for a patient. The patient requires a setting that provides a program of about 4 hours per day, three times per week with a 24-hour crisis and consultation service. The nurse would identify which of the following as appropriate?
Correct Answer: C
Rationale: The correct answer is C: Ambulatory level two. This setting provides a structured program of about 4 hours per day, three times per week, which aligns with the patient's needs. Additionally, it offers a 24-hour crisis and consultation service, ensuring comprehensive support. A: Primary care setting does not typically offer the intensity and frequency of services required for this patient. B: Ambulatory level one may not provide the necessary duration and frequency of the program. D: Multimodal outpatient setting does not specify the intensity and frequency of services needed for this patient.
Question 2 of 5
The nurse is counseling a family with a child who has been abused by an adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse to stress?
Correct Answer: A
Rationale: Step 1: A supportive relationship with an adult is crucial for the child to rebuild trust and feel safe after experiencing abuse. Step 2: Long-term psychotherapy may be beneficial, but establishing a supportive relationship is the primary focus. Step 3: Antidepressant medications may be used if necessary, but the primary need is emotional support. Step 4: Short-term separation from parents can further traumatize the child; maintaining a supportive family environment is key. Summary: Choice A is correct because it addresses the immediate emotional needs of the child post-abuse, while the other choices focus on secondary or potentially harmful interventions.
Question 3 of 5
While interviewing a patient, a nurse asks, 'What do you do when you get angry?' Which patient response would indicate to the nurse that the patient engages in anger suppression?
Correct Answer: B
Rationale: The correct answer is B because withdrawing and pouting about the problem indicates a passive-aggressive behavior associated with anger suppression. This response suggests that the patient avoids direct confrontation and attempts to mask their anger by withdrawing and internalizing their emotions. A: "I've been known to fly off the handle when I'm angry." - This response indicates explosive anger expression, not suppression. C: "I usually approach the person directly to talk about it." - This response suggests open communication, not suppression. D: "I try to discuss how I'm feeling about it with a close friend." - This response implies seeking support and emotional expression, not suppression.
Question 4 of 5
The nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on the nurse's understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Schizoaffective disorder is associated with an increased risk of suicide. Addressing suicide prevention is the top priority to ensure the client's safety. Suicide risk assessment and intervention are crucial in managing this disorder. Aggression (B), substance abuse (C), and eating disorder (D) may also be present but addressing suicide takes precedence due to the high risk associated with this disorder.
Question 5 of 5
The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when he states which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. "I should start by stating my feelings as an 'I' statement" is correct because using 'I' statements helps the client express their feelings without blaming others. 2. By starting with their own feelings, the client takes ownership of their emotions and promotes effective communication. 3. This approach also helps in avoiding conflict and promotes empathy and understanding between the client and the other person. Summary: - Option B is incorrect because starting with describing the situation may lead to blaming or accusing the other person. - Option C is incorrect because starting with what the client wants to change may come across as demanding or aggressive. - Option D is incorrect because starting with what triggered the emotion may focus on external factors rather than the client's feelings.