ATI RN
Nclex Practice Questions Mental Health Questions
Question 1 of 5
When preparing the plan of care for a forensic client, a nurse determines not to investigate the details of the crime. Which of the following best supports the rationale for the nurse's decision?
Correct Answer: C
Rationale: The correct answer is C because not investigating the crime details will help the nurse maintain unbiased attitudes towards the client and provide care without being influenced by personal opinions or judgments. By avoiding learning about the crime, the nurse can focus on the client's health needs and promote a therapeutic relationship based on trust and respect. A: This choice is incorrect because the nurse's personal feelings of fear should not dictate the decision-making process in providing care for the client. B: This choice is incorrect because protecting the nurse from anxiety is not the primary reason for not investigating the crime details. The focus should be on providing effective care for the client. D: This choice is incorrect because maintaining professional boundaries is important, but the primary reason for not investigating the crime details is to ensure impartiality and quality care for the client.
Question 2 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 3 of 5
In the 2 months after his wife's death, Aaron, aged 90 and in good health, has begun to pay less attention to his hygiene and seems less alert to his surroundings. He complains of difficulty concentrating and sleeping and reports that he lacks energy. His family sometimes has to remind and encourage him to shower, take his medications, and eat, all of which he then does. Which response is most appropriate?
Correct Answer: D
Rationale: The correct answer is D because Aaron's symptoms of decreased hygiene, alertness, concentration, sleep difficulties, and lack of energy are indicative of depression rather than dementia. By arranging an appointment with a therapist for evaluation and treatment of suspected depression, Aaron can receive proper care and support. Choice A is incorrect as reorienting Mr. Smith by pointing out the day and date may not address the underlying issue of depression. Choice B is incorrect as there is no mention of dementia symptoms and assuming stage 2 dementia without proper evaluation is premature. Choice C is incorrect as avoiding touch and proximity may exacerbate feelings of isolation and worsen his condition without addressing the root cause of his symptoms.
Question 4 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 5 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.