ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?
Correct Answer: A
Rationale: The correct answer is A: Risk for Other-Directed Violence. This diagnosis is the priority because individuals with antisocial personality disorder often display behaviors such as irritability, aggressiveness, and callousness towards others. This places them at a higher risk for exhibiting violent behaviors directed towards others. It is crucial for the nurse to prioritize assessing and managing this risk to ensure the safety of both the client and others. Summary of why the other choices are incorrect: B: Risk for Self-Injury - Individuals with antisocial personality disorder are more likely to harm others rather than themselves. C: Risk for Suicide - Antisocial personality disorder is not typically associated with an increased risk for suicide. D: Risk for Self-Directed Violence - Individuals with antisocial personality disorder are more inclined towards externalizing behaviors rather than self-directed violence.
Question 5 of 5
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.