ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 9
A psychiatric-mental health nurse is working on a committee that is developing programs that integrate the objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of program would be least appropriate?
Correct Answer: A
Rationale: The correct answer is A: Single substance abuse treatment programs. This is least appropriate because Healthy People 2020 emphasizes integrated programs that address mental health and mental disorders comprehensively. Substance abuse treatment programs, while important, focus on a specific issue and do not address the broader objectives of mental health promotion and disorder prevention. Choices B, C, and D align with Healthy People 2020 by promoting early detection, support for vulnerable populations, and holistic approaches to mental health, respectively.
Question 2 of 9
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.
Question 3 of 9
A female patient, who is in her late 30s, is describing her home life to the nurse. The nurse determines that the patient is a member of the sandwich generation based on which of the following?
Correct Answer: A
Rationale: The correct answer is A because the term "sandwich generation" refers to individuals who are simultaneously caring for their own young children and aging parents. In this scenario, the patient has a young adult child at home and an elderly parent to care for, indicating that she fits the definition of the sandwich generation. Choices B, C, and D are incorrect because they do not meet the criteria for being part of the sandwich generation. Choice B states that the young adult child is married and living away from home, which means the patient is not actively caring for the child. Choice C mentions that the patient's young adult child is away at college and without living parents, which also does not align with the sandwich generation definition. Choice D indicates that the patient has no responsibilities regarding her children or parents, which would not qualify her as part of the sandwich generation.
Question 4 of 9
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Neuman Systems Model focuses on stressors affecting the patient. 2. Stressors are key in understanding the patient's response to the environment. 3. In a mood disorder, stressors can exacerbate symptoms. 4. By focusing on stressors, the nurse can identify triggers and provide appropriate interventions. Summary of incorrect choices: A: Behaviors - Important, but not the primary focus in Neuman Systems Model. B: Relationships - Relevant, but not the central aspect in this context. C: Self-care activities - Relevant, but not the primary focus when considering a patient's mood disorder.
Question 5 of 9
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's han Select the correct analysis of the nurse's behavior.
Correct Answer: B
Rationale: The correct answer is B because during the first interview with a grieving parent, it is crucial to be sensitive to the patient's cultural and individual interpretation of touch. By reaching out to take the patient's hand, the nurse may unintentionally make the patient uncomfortable or feel intruded upon. It is important to establish trust and rapport first before physical touch is initiated. This approach respects the patient's boundaries and preferences, promoting a more effective therapeutic relationship. Incorrect answers: A: While empathy and compassion are important, premature physical touch may not always be well-received by the patient. C: Assuming the patient will perceive the gesture as intrusive is a generalization. However, it is important to be cautious and respect the patient's boundaries. D: This answer is not relevant to the scenario provided and does not address the cultural sensitivity and individual interpretation of touch.
Question 6 of 9
Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depression, the nurse would caution the patient about which over-the-counter supplement(s)? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.
Question 7 of 9
Opioid use disorder is characterized by:
Correct Answer: C
Rationale: The correct answer is C: Tolerance. Opioid use disorder is characterized by the need for increased amounts of opioids to achieve the desired effect over time, which is known as tolerance. This occurs due to physiological changes in the body. Choices A and B are incorrect as withdrawal symptoms, including pupillary constriction, sedation, and insomnia, are typically seen in opioid use disorder. Choice D is incorrect as individuals with opioid use disorder often require larger amounts of the drug to achieve the same high due to tolerance, not smaller amounts.
Question 8 of 9
What statement best describes the development of user groups in the digital age?
Correct Answer: C
Rationale: The correct answer is C because user groups in the digital age have indeed evolved to utilize digital platforms for broader reach and acquiring digital health information. This evolution allows users to connect with a wider audience and access a vast amount of health-related information online. User groups are no longer limited by geographic boundaries and can provide support and resources to individuals regardless of their location. Choice A is incorrect because user groups have not decreased in number but rather expanded due to technology. Choice B is incorrect as user groups can serve various purposes, including health-care support. Choice D is incorrect as user groups continue to play a significant role in providing support and information to individuals seeking help in the digital age.
Question 9 of 9
The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?
Correct Answer: A
Rationale: The correct answer is A: Risk for Other-Directed Violence. This diagnosis is the priority because individuals with antisocial personality disorder often display behaviors such as irritability, aggressiveness, and callousness towards others. This places them at a higher risk for exhibiting violent behaviors directed towards others. It is crucial for the nurse to prioritize assessing and managing this risk to ensure the safety of both the client and others. Summary of why the other choices are incorrect: B: Risk for Self-Injury - Individuals with antisocial personality disorder are more likely to harm others rather than themselves. C: Risk for Suicide - Antisocial personality disorder is not typically associated with an increased risk for suicide. D: Risk for Self-Directed Violence - Individuals with antisocial personality disorder are more inclined towards externalizing behaviors rather than self-directed violence.