ATI RN
Nclex Practice Questions Mental Health Questions
Question 1 of 5
A student nurse is studying for an exam on the recovery process. What is an example of a statement that demonstrates their understanding to their study group?
Correct Answer: C
Rationale: The correct answer is C: "Recovery is a nonlinear process based on instilling hope." This answer demonstrates a deep understanding of the recovery process as it acknowledges that recovery is not a straightforward path and emphasizes the importance of instilling hope in individuals undergoing recovery. Recovery from mental illness or substance use is a complex and individualized journey that may involve setbacks and progress. Instilling hope is crucial in motivating individuals to continue working towards their recovery goals. Choice A is incorrect because it presents a pessimistic view that the majority of people do not recover, which is not aligned with the recovery-oriented approach. Choice B is incorrect as it implies that the healthcare team solely dictates the recovery process, disregarding the individual's autonomy and empowerment. Choice D is incorrect as it overlooks the collaborative nature of the recovery process and places the responsibility solely on the client.
Question 2 of 5
Which of the following clients does not have the ability to refuse medications or treatments? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: A client who has been deemed incompetent by the court. This client does not have the ability to refuse medications or treatments because they have been legally declared incompetent to make decisions regarding their own healthcare. This determination is made by the court based on the individual's mental capacity. In contrast, choices A and B pertain to clients who are under different forms of commitment, but maintain the right to refuse treatment unless there is an emergency or specific legal circumstance. Choice D, a client with antisocial personality disorder, still retains the right to refuse medications or treatments unless they are deemed a danger to themselves or others.
Question 3 of 5
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely to provide for a patient?
Correct Answer: D
Rationale: The correct answer is D because building assertiveness skills is a crucial aspect of direct care in psychiatric nursing. It helps patients communicate effectively, set boundaries, and advocate for themselves, leading to improved self-esteem and empowerment. Hygiene assistance (A) is important but not specific to psychiatric care. Diversional activities (B) and job hunting assistance (C) are valuable interventions, but building assertiveness skills (D) directly supports the patient's mental health recovery and coping strategies.
Question 4 of 5
A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates
Correct Answer: A
Rationale: The correct answer is A: boundary blurring. The nurse's statement suggests an inappropriate emotional involvement with the patient, crossing professional boundaries. This can lead to biased decision-making and hinder teamwork. Sexual harassment (B) and positive regard (C) are not applicable in this context. Advocacy (D) involves supporting and promoting the patient's best interests, which is not demonstrated in the nurse's statement.
Question 5 of 5
Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
Correct Answer: C
Rationale: The correct answer is C: Olanzapine. Olanzapine is an antipsychotic medication that acts quickly to help manage aggressive behavior in psychotic patients. It works by blocking certain neurotransmitters in the brain, helping to reduce agitation and aggression. A: Lithium is used for mood stabilization in conditions like bipolar disorder, not for immediate intervention in escalating aggression. B: Trazodone is an antidepressant often used for sleep disturbances, not typically indicated for acute aggression. D: Valproic acid is an anticonvulsant used for seizure disorders, not typically used for immediate aggression control. In summary, Olanzapine is the most appropriate choice for immediate intervention in managing escalating aggressive behavior in a psychotic patient due to its rapid onset and effectiveness in reducing agitation and aggression.