ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 5
A nursing student states to the instructor,"I'm afraid of clients with mental illness. They are all violent." Which of the following statements would the instructor use to clarify this perception for the student? Select all that apply.
Correct Answer: B
Rationale: Rationale: 1. Choice B is correct as it addresses the misconception by stating that only a very few clients with mental illness exhibit violent behaviors, helping the student understand that violence is not a common trait among all clients with mental illness. 2. Choice A is incorrect as it perpetuates the misconception by suggesting that most clients with mental illness are violent, even though de-escalation techniques can be used. 3. Choice C is incorrect as it implies that medications are the sole solution to prevent violent behaviors, which is not always the case. 4. Choice D is incorrect as it oversimplifies the issue by suggesting that only paranoid clients exhibit violent behaviors, which is not true for all clients with mental illness.
Question 2 of 5
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 3 of 5
An emergency code was called after a patient pulled a knife from a pocket and threatened, 'I will kill anyone who tries to get near me.' The patient was safely disarmed and placed in seclusion. Justification for use of seclusion was that the patient
Correct Answer: D
Rationale: The correct answer is D because the patient's action of pulling out a knife and making a threat demonstrated a clear and present danger to others. The patient's behavior posed an immediate risk to the safety of those around them, necessitating urgent intervention for the protection of others. A: While the patient was indeed threatening to others, the severity of the threat, involving a weapon, indicated a higher level of danger. B: Psychosis alone may not always indicate an immediate danger to others unless accompanied by specific threatening behavior. C: While escape risk is a consideration, the primary concern in this scenario was the patient's potential harm to others, justifying seclusion for safety reasons.
Question 4 of 5
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 5 of 5
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.