ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 5
A psychiatric nurse is working in a community mental health center. They are completing an assessment on a 32-year-old pregnant female presenting with depression. They note that the client has not answered the questions about alcohol and tobacco use. Why is it important to gather this information?
Correct Answer: B
Rationale: The correct answer is B because assessing alcohol and tobacco use in a pregnant client with depression is crucial for providing comprehensive care. First, substance use can exacerbate mental health symptoms and impact treatment effectiveness. Second, substance use during pregnancy can harm both the mother and the unborn child, leading to adverse health outcomes. Third, this information is vital for developing a holistic care plan that considers both the mental health needs of the client and the safety of the unborn child. Choices A, C, and D are incorrect because: A: Failing to assess alcohol and tobacco use neglects essential information that can impact the client's well-being and treatment. C: Substance use during pregnancy can have significant long-term effects on the unborn child's health and development. D: Assessing alcohol and tobacco use is not optional, as it directly influences the client's mental health and the well-being of the unborn child.
Question 2 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 3 of 5
A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's closet is locke These observations relate to
Correct Answer: B
Rationale: The correct answer is B, management of milieu safety. This is because the nurse's observations pertain to ensuring a safe and secure environment within the psychiatric unit. Checking for unobstructed exits, no smoking, and a locked janitor's closet are all crucial aspects of maintaining a safe milieu for patients. A: Coordinating care of patients is not directly related to the observations mentioned. C: Management of the interpersonal climate focuses on relationships and communication among patients and staff, not physical safety measures. D: The use of therapeutic intervention strategies involves treatment modalities and interventions for patient care, which is not the primary focus of the nurse's observations.
Question 4 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 5 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.