ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 5
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 5
The nurse is reviewing the medical records of several patients receiving antipsychotic agents. Which factors, if noted, would the nurse identify as placing a patient at greater risk for tardive dyskinesia?
Correct Answer: C
Rationale: Step-by-step rationale for choice C (History of depression) being the correct answer: 1. Tardive dyskinesia is a side effect of long-term antipsychotic use. 2. Patients with a history of depression may have been on antipsychotics for a longer duration. 3. Longer exposure increases the risk of tardive dyskinesia. 4. Other choices are not directly related to increased risk of tardive dyskinesia. Summary: Choice C is correct due to the longer duration of antipsychotic use in patients with a history of depression, leading to increased risk of tardive dyskinesia. Other choices do not have a direct correlation with tardive dyskinesia risk.
Question 3 of 5
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 5
A nurse is part of a team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask?
Correct Answer: B
Rationale: The correct answer is B: "What are your thoughts about what you will do during the next few days?" This question is appropriate as it assesses the victim's cognitive coping abilities and future planning, providing insight into their mental state and need for support. It focuses on the victim's thoughts and intentions, which are crucial in understanding their coping mechanisms. Choice A is too broad and may not directly assess cognitive coping abilities. Choice C focuses on emotions rather than cognitive coping strategies. Choice D introduces the concept of survivor's guilt, which may not be relevant or suitable for initial assessment of cognitive coping.
Question 5 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Insight-oriented therapy. This type of therapy focuses on exploring the underlying causes of behavior, emotions, and thoughts, which may not be effective for clients with delusional disorder. Clients with delusional disorder often have fixed false beliefs that are not amenable to insight-oriented therapy. B: Psychoeducation is important in helping clients and their families understand the disorder, its symptoms, and treatment options. C: Cognitive therapy helps clients identify and challenge irrational beliefs and thought patterns, which can be beneficial in managing delusions. D: Support therapy provides emotional support and coping strategies for clients, which is crucial in managing symptoms of delusional disorder. In summary, insight-oriented therapy may not be as effective for clients with delusional disorder compared to psychoeducation, cognitive therapy, and support therapy, which are more suitable interventions for this population.