ATI RN
Practice Nclex Questions Mental Health Questions
Question 1 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in patients with schizophrenia poses the greatest risk for injury to others as it can lead to aggressive behavior, violence, or harm towards others due to the patient's irrational belief that others are trying to harm them. This can result in dangerous situations where the patient may act out in self-defense or in an attempt to protect themselves from perceived threats. Explanation of other choices: A: Depersonalization does not typically lead to physical harm to others but rather a sense of detachment from oneself. B: Pressured speech may be a symptom of mania or anxiety disorders, but it is not directly linked to physical harm towards others. C: Negative symptoms refer to a decrease in normal emotional responses or other functions, which do not inherently pose a direct risk of injury to others.
Question 2 of 5
Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depression, the nurse would caution the patient about which over-the-counter supplement(s)? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.
Question 3 of 5
What statement best describes the development of user groups in the digital age?
Correct Answer: C
Rationale: The correct answer is C because user groups in the digital age have indeed evolved to utilize digital platforms for broader reach and acquiring digital health information. This evolution allows users to connect with a wider audience and access a vast amount of health-related information online. User groups are no longer limited by geographic boundaries and can provide support and resources to individuals regardless of their location. Choice A is incorrect because user groups have not decreased in number but rather expanded due to technology. Choice B is incorrect as user groups can serve various purposes, including health-care support. Choice D is incorrect as user groups continue to play a significant role in providing support and information to individuals seeking help in the digital age.
Question 4 of 5
A nurse is getting ready to transfer a client diagnosed with schizophrenia to a partial hospital program. What is the next best step before that client is discharged?
Correct Answer: C
Rationale: The correct answer is C because contacting the partial program and reviewing the client's history with the staff ensures a smooth transition and continuity of care. This step allows the receiving facility to be prepared to meet the client's needs effectively. Option A and B do not involve coordination with the receiving program, risking discontinuity of care. Option D includes providing records to the program but lacks the crucial step of reviewing the client's history with the staff beforehand, which could lead to potential misunderstandings or gaps in care.
Question 5 of 5
Which can be described as an example of an oversimplified or undifferentiated belief?
Correct Answer: D
Rationale: The correct answer is D because it represents an oversimplified and undifferentiated belief by generalizing all alcoholics as "skid-row bums." This statement fails to acknowledge the diversity and complexity of individuals struggling with alcohol use disorder. It overlooks the fact that alcoholism can affect people from all walks of life, regardless of their socioeconomic status. In contrast, choices A, B, and C provide more nuanced and accurate perspectives on alcohol use disorder, emphasizing factors such as disease model, treatment methods, and spiritual beliefs that can aid in recovery.