ATI RN
Nclex Mental Health Practice Questions Questions
Question 1 of 5
When considering the pathophysiology responsible for both delirium and dementia, which intervention is appropriate for delirium specifically?
Correct Answer: B
Rationale: The correct answer is B: Monitor neurological status on an ongoing basis. Delirium is characterized by acute changes in cognition and attention, necessitating continuous monitoring of neurological status to detect any fluctuations or worsening. This allows for prompt intervention and management to prevent complications. A: Assisting with basic needs is important but not specific to delirium management. C: Placing an identification bracelet does not directly address the cognitive changes seen in delirium. D: Giving simple directions is helpful, but monitoring neurological status is more crucial for managing delirium.
Question 2 of 5
Graciela is a sixty-three-year-old woman who recently became the primary caregiver for her husband who had a stroke. She tells her husband's nurse that she has been feeling lonely and sad lately and that none of her friends seem to understand what she is going through. What community resource would best benefit Graciela?
Correct Answer: D
Rationale: The correct answer is D: a support group for adult caregivers. Graciela is experiencing feelings of loneliness and sadness due to her new role as a caregiver for her husband. A support group for adult caregivers would provide her with a community of individuals who are going through similar experiences, offering emotional support, understanding, and coping strategies. This resource can help Graciela feel less isolated and more supported in her caregiving journey. Choice A (the local food pantry) does not address Graciela's emotional needs and is not directly related to her situation as a caregiver. Choice B (a rideshare service) is focused on transportation to church and does not address Graciela's feelings of loneliness and sadness. Choice C (a social worker for subsidized housing) does not specifically address Graciela's emotional well-being and may not provide the necessary support for her current situation as a caregiver.
Question 3 of 5
Nurse Simon has just completed a psychosocial assessment of his client Juan. During the assessment, Nurse Simon listens to Juan and tries to make Juan feel respected by showing compassion and empathy. What method is Nurse Simon using?
Correct Answer: A
Rationale: The correct answer is A: the therapeutic relationship. Nurse Simon is using the therapeutic relationship method by actively listening to Juan, showing compassion, and empathy. This method focuses on building trust, respect, and rapport with the client to facilitate effective communication and promote positive outcomes in the therapeutic process. Summary of why the other choices are incorrect: B: Risk assessment is not the method being used here as Nurse Simon is focused on building a therapeutic relationship, not assessing potential risks. C: Spiritual awareness is not the method being used here as the scenario describes Nurse Simon showing compassion and empathy, not specifically focusing on spiritual beliefs or practices. D: Resilience strategy is not the method being used here as Nurse Simon is focused on establishing a therapeutic relationship, not implementing strategies to build resilience in the client.
Question 4 of 5
A nurse in an inpatient setting formulates an outcome for a client who has a nursing diagnosis of altered social interaction R/T paranoid thinking AEB aggressive behaviors. Which initial, correctly written outcome would the nurse expect the client to achieve?
Correct Answer: C
Rationale: Rationale: C is correct because it focuses on addressing the nursing diagnosis of altered social interaction due to paranoid thinking. Listing triggers to angry outbursts shows an understanding of personal patterns and promotes self-awareness. This outcome aligns with the client's current state and is measurable within a specific timeframe. Summary of other choices: A: This choice is incorrect as it does not address the specific issue of paranoid thinking and aggressive behaviors. B: While adaptive coping strategies are important, this choice does not directly target the altered social interaction aspect of the nursing diagnosis. D: Walking away from confrontation may be a coping strategy, but it does not address the underlying issue of paranoid thinking and altered social interaction.
Question 5 of 5
A client's husband is visiting his wife during visiting hours. A nurse walking by hears him verbally abuse the client. Which nursing response is appropriate?
Correct Answer: B
Rationale: The correct answer is B because reminding the client's husband of the unit rules is the appropriate nursing response in this situation. This action sets clear boundaries and addresses the inappropriate behavior directly. Asking the client to ask her husband to leave (Option A) puts the burden on the client and may escalate the situation. Asking the husband to come to the nurse's station (Option C) may not address the immediate need to address the abusive behavior. Sitting with the client and her husband to discuss anger issues (Option D) is not appropriate at this time as it does not address the immediate need to stop the verbal abuse.