ATI RN
Nursing Mental Health Practice Questions Questions
Question 1 of 5
A nursing instructor is preparing a teaching plan for a group of nursing students who will be working with homeless populations. As part of the class, the instructor will be including information about barriers to successful treatment of homeless clients who are mentally ill. Which reason would the instructor include as contributing to lack of compliance with psychotropic medications?
Correct Answer: B
Rationale: The correct answer is B: Lack of proper medication storage. Homeless individuals may lack access to safe and secure storage for medications, leading to issues such as loss, theft, or spoilage. This can result in inconsistent or missed doses, affecting treatment effectiveness. Other choices are incorrect because: A: Mistrust of medical personnel may be a barrier to seeking care but does not directly relate to medication compliance. C: Chemical dependence on prescription medications is a separate issue and not necessarily a common barrier for homeless individuals. D: Lack of motivation and literacy skills can impact overall engagement in treatment but may not specifically address medication storage as a barrier.
Question 2 of 5
A nurse in a provider's office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client's history is a contraindication to using combination oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C: Impaired liver function. Impaired liver function is a contraindication to using combination oral contraceptives due to the liver's role in metabolizing the hormones in the contraceptives. Impaired liver function can affect the metabolism of these hormones, leading to potential complications. A: Thyroid disease is not a contraindication to using combination oral contraceptives as it does not directly impact the metabolism of the hormones. B: Allergy to penicillin is not relevant to the use of oral contraceptives as they do not contain penicillin. D: Abnormal blood glucose levels are not a direct contraindication to using combination oral contraceptives unless the levels are severely uncontrolled, which would be an indication for further evaluation but not an absolute contraindication.
Question 3 of 5
When a nurse uses therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to:
Correct Answer: C
Rationale: The correct answer is C: Use the technique of making observations. This is effective because it acknowledges the patient's silence and encourages them to open up without pressuring them to respond. By making observations, the nurse can reflect back what they see, hear, or sense, prompting the patient to share more. A: Meditating does not actively engage the patient or encourage communication. B: Asking questions may overwhelm the withdrawn patient and further discourage them from opening up. D: Simply sitting quietly and leaving when the patient falls asleep does not actively support the patient in engaging in therapeutic communication.
Question 4 of 5
Which person is at the highest risk for suicide?
Correct Answer: C
Rationale: The correct answer is C because this individual exhibits multiple risk factors for suicide: alcohol dependence, hopelessness, impulsivity, recent rejection, and access to a gun. These factors increase the immediate risk of suicide due to the combination of emotional distress and means to carry out the act. Choice A has a plan but lacks the impulsivity and immediate means. Choice B has a history of suicide attempts but lacks the current impulsivity and availability of means. Choice D expresses a desire for death but lacks the impulsivity and immediate access to means.
Question 5 of 5
The dying patient with a neurocognitive disorder such as Alzheimer's disease is especially challenging to provide care for. They may have symptoms or pain that they are unable to adequately describe or define. Reversible conditions that respond to treatment that may affect level of consciousness, anxiety, or agitation include:
Correct Answer: B
Rationale: The correct answer is B: Distended bladder, constipation, or nausea. These conditions can cause discomfort and affect the patient's level of consciousness, anxiety, or agitation. Addressing these reversible conditions can improve the patient's overall well-being. Other choices are incorrect because: A: Inability to communicate does not directly address the reversible physical conditions affecting the patient's symptoms. C: Reduced urinary output may be a symptom of underlying issues, but it does not directly address the reversible conditions mentioned in the question. D: Weakness due to the dying process is a natural progression and not a reversible condition that responds to treatment to improve the patient's symptoms.