ATI RN
Nclex Practice Questions Mental Health Questions
Question 1 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: The correct answer is D: Asking 'why' questions. This technique is not considered therapeutic in therapeutic communication because it can come off as confrontational or judgmental, potentially making the patient defensive. Instead, therapeutic communication aims to create a safe and supportive environment for the patient to express their thoughts and feelings openly. Restating, encouraging description of perception, and summarizing are all considered therapeutic techniques as they demonstrate active listening, empathy, and understanding, which help build trust and rapport with the patient. Asking open-ended questions that explore the patient's feelings and experiences without implying judgment or blame is more effective in facilitating meaningful discussions and promoting patient-centered care.
Question 2 of 5
A female consumer with severe and recurrent mania argues with outpatient staff about her medication. She does not believe she has a mental illness. Although she takes medication during hospitalizations, she stops taking them after discharge. Which intervention is most helpful in promoting medication adherence?
Correct Answer: D
Rationale: The correct answer is D because it focuses on exploring the patient's perceptions and experiences regarding medication and linking medication adherence to her personal goals. By understanding the patient's beliefs and motivations, the healthcare provider can tailor interventions to address her specific concerns and increase her willingness to take medication. This approach respects the patient's autonomy and empowers her to make informed decisions about her treatment. Choice A is incorrect because changing staff members may not address the underlying issues contributing to medication non-adherence. Choice B is not as effective as it focuses solely on explaining the benefits and side effects of medication without considering the patient's individual beliefs and concerns. Choice C, while providing education, does not address the patient's personal experiences and motivations, which are crucial in promoting medication adherence.
Question 3 of 5
Mrs. Rodriguez, a sixty-year-old female, is struggling with an addiction to alcohol. What community services could support Mrs. Rodriguez?
Correct Answer: C
Rationale: The correct answer is C, a community program for substance use, as it offers specialized support for individuals struggling with alcohol addiction. These programs provide counseling, therapy, and resources tailored to address addiction issues. State hospitalization (A) is not appropriate for Mrs. Rodriguez unless she is in immediate danger. Family support groups (B) may not address Mrs. Rodriguez's specific needs. Narcotics Anonymous (D) is geared towards drug addiction, not alcohol addiction. In summary, choice C is the best option for Mrs. Rodriguez as it offers comprehensive support and resources specifically for alcohol addiction.
Question 4 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 5 of 5
Which statement by the nurse expresses respect for the client?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the client's confidentiality and privacy, which are essential in maintaining trust and therapeutic relationships. By assuring the client that discussions will remain within the healthcare team, the nurse upholds the client's autonomy and dignity. Option A lacks respect as it involves blaming and restricting the client. Option C shows empathy but implies judgment towards the client. Option D downplays the client's feelings and fails to acknowledge their individuality.