ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 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 2 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 3 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 4 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 5 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.