ATI RN
Nclex Mental Health Practice Questions Questions
Question 1 of 5
A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
Correct Answer: D
Rationale: Step 1: Identify the conflicting viewpoints - The patient believes in the right to die, while the nurse opposes this view. Step 2: Analyze the underlying values - The patient prioritizes autonomy, while the nurse emphasizes the sanctity of life. Step 3: Evaluate the correctness of each viewpoint - Both perspectives have validity based on individual values and beliefs. Step 4: Determine the best analysis - Choice D, "Differing values are reflected in the two statements," is correct as it acknowledges the clash of values without dismissing either perspective.
Question 2 of 5
A nurse is providing in-home mental health care and determines that the care was effective when the patient demonstrated which of the following?
Correct Answer: C
Rationale: The correct answer is C because a decrease in admission frequency to inpatient psychiatric hospitals indicates improved mental health stability and reduced need for acute care. This outcome shows that the in-home mental health care has been effective in managing the patient's condition. A: Need for continued intensive monitoring in the home suggests ongoing high risk and lack of progress. B: Need for crisis intervention services on an ongoing basis indicates persistent instability and inability to manage symptoms effectively. D: Dependence on parents to participate in care may imply lack of independence and personal growth in managing one's mental health.
Question 3 of 5
A patient is prescribed medication for a psychiatric disorder. After 3 days, the patient tells the nurse that he or she has been constipated. Which instruction would the nurse give the patient?
Correct Answer: B
Rationale: The correct answer is B because constipation is a common side effect of psychiatric medications, often due to decreased gastrointestinal motility. Eating more fruits and vegetables and drinking more water can help alleviate constipation by increasing fiber intake and hydration. Option A is incorrect as high-protein foods can worsen constipation. Option C is unnecessary as dietary adjustments should be tried first. Option D is incorrect as constipation may persist and needs active management.
Question 4 of 5
The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response?
Correct Answer: B
Rationale: The correct answer is B because children often express grief through physical symptoms like aches and pains. This is known as somatic complaints. Children may find it difficult to articulate their emotions verbally, so physical symptoms may manifest instead. Option A is incorrect as talking about scary novels is not a common response to grief in children. Option C is incorrect as fear of leaving home is more associated with separation anxiety. Option D is incorrect as becoming obsessed with religious rituals is not a typical response to grief in children.
Question 5 of 5
A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
Correct Answer: C
Rationale: Correct Answer: C: Risk for Other-Directed Violence related to alcohol withdrawal Rationale: 1. The patient is exhibiting combative behavior and altered thought processes, indicating potential for violent behavior towards others. 2. Other-directed violence encompasses harm towards others, making it a priority to ensure the safety of both the patient and others. 3. This diagnosis addresses the immediate safety concern and allows for interventions to prevent harm to others. Incorrect Choices: A: Risk for Injury - Focuses on self-injury, not directed towards others. B: Risk for Self-Mutilation - Similar to choice A, does not address potential harm towards others. D: Risk for Delayed Development - Not relevant to the current situation of altered thought processes and combative behavior.