ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 5
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
Correct Answer: B
Rationale: The correct answer is B because prescribing psychotropic medication is within the scope of practice of an advanced practice nurse (APN), such as a psychiatric nurse practitioner. APNs have advanced education and training that allows them to diagnose and prescribe medications for mental health conditions. A: Conducting mental health assessments is a common role for staff nurses and does not require advanced practice training. C: Establishing therapeutic relationships is a fundamental nursing skill that staff nurses and APNs both perform. D: Individualizing nursing care plans is also a standard nursing practice that does not necessarily require advanced practice skills.
Question 2 of 5
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 3 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 4 of 5
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 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.