ATI RN
Nclex Practice Questions Mental Health Questions
Question 1 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.
Question 2 of 5
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely to provide for a patient?
Correct Answer: D
Rationale: The correct answer is D because building assertiveness skills is a crucial aspect of direct care in psychiatric nursing. It helps patients communicate effectively, set boundaries, and advocate for themselves, leading to improved self-esteem and empowerment. Hygiene assistance (A) is important but not specific to psychiatric care. Diversional activities (B) and job hunting assistance (C) are valuable interventions, but building assertiveness skills (D) directly supports the patient's mental health recovery and coping strategies.
Question 3 of 5
A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates
Correct Answer: A
Rationale: The correct answer is A: boundary blurring. The nurse's statement suggests an inappropriate emotional involvement with the patient, crossing professional boundaries. This can lead to biased decision-making and hinder teamwork. Sexual harassment (B) and positive regard (C) are not applicable in this context. Advocacy (D) involves supporting and promoting the patient's best interests, which is not demonstrated in the nurse's statement.
Question 4 of 5
Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
Correct Answer: C
Rationale: The correct answer is C: Olanzapine. Olanzapine is an antipsychotic medication that acts quickly to help manage aggressive behavior in psychotic patients. It works by blocking certain neurotransmitters in the brain, helping to reduce agitation and aggression. A: Lithium is used for mood stabilization in conditions like bipolar disorder, not for immediate intervention in escalating aggression. B: Trazodone is an antidepressant often used for sleep disturbances, not typically indicated for acute aggression. D: Valproic acid is an anticonvulsant used for seizure disorders, not typically used for immediate aggression control. In summary, Olanzapine is the most appropriate choice for immediate intervention in managing escalating aggressive behavior in a psychotic patient due to its rapid onset and effectiveness in reducing agitation and aggression.
Question 5 of 5
A nurse who is working as part of an interdisciplinary team is looking at potential outpatient services for a patient. The patient requires a setting that provides a program of about 4 hours per day, three times per week with a 24-hour crisis and consultation service. The nurse would identify which of the following as appropriate?
Correct Answer: C
Rationale: The correct answer is C: Ambulatory level two. This setting provides a structured program of about 4 hours per day, three times per week, which aligns with the patient's needs. Additionally, it offers a 24-hour crisis and consultation service, ensuring comprehensive support. A: Primary care setting does not typically offer the intensity and frequency of services required for this patient. B: Ambulatory level one may not provide the necessary duration and frequency of the program. D: Multimodal outpatient setting does not specify the intensity and frequency of services needed for this patient.