ATI RN
Mental Health Nursing Nclex Practice Questions Questions
Question 1 of 9
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding that nonverbal cues can provide additional insights into a patient's true feelings or thoughts. Choice A is incorrect as it simply states a general observation without emphasizing the significance of nonverbal cues. Choice C is incorrect because assuming a patient's emotions based solely on body posture is not accurate or reliable. Choice D is incorrect as it undervalues the importance of nonverbal communication in understanding the complete message being conveyed.
Question 2 of 9
A client diagnosed with schizophrenia is about to be discharged and is facing the stressor of acquiring independent employment. Using a behavioral approach, which nursing intervention is most appropriate in meeting this client's needs?
Correct Answer: B
Rationale: The correct answer is B: Role-playing a job interview with the client. This intervention aligns with the behavioral approach by providing the client with practical skills to address the stressor of acquiring independent employment. Role-playing allows the client to practice and improve their interview skills, enhancing their confidence and ability to secure a job. A: Teaching the client to "thought block" auditory hallucinations is more aligned with cognitive-behavioral approaches and not directly related to employment needs. C: Advocating for adequate housing is important but not directly addressing the client's need for employment. D: Discussing the use of prn medications focuses on symptom management rather than improving the client's ability to secure employment.
Question 3 of 9
A nurse wants to enhance growth of a patient by showing positive regar The nurse's action most likely to achieve this goal is
Correct Answer: B
Rationale: Step-by-step rationale for choosing answer B: 1. Positive regard involves showing empathy and support. 2. Staying with a tearful patient shows empathy and emotional support. 3. Emotional support can enhance patient growth and well-being. 4. Making rounds, administering medication, and examining personal feelings do not directly show empathy or emotional support. Summary: - Choice A is incorrect as making rounds is a routine task, not focused on emotional support. - Choice C is incorrect as administering medication is a clinical task, not centered on emotional support. - Choice D is incorrect as examining personal feelings does not directly provide emotional support to the patient.
Question 4 of 9
A nursing student states to the instructor,"I'm afraid of clients with mental illness. They are all violent." Which of the following statements would the instructor use to clarify this perception for the student? Select all that apply.
Correct Answer: B
Rationale: Rationale: 1. Choice B is correct as it addresses the misconception by stating that only a very few clients with mental illness exhibit violent behaviors, helping the student understand that violence is not a common trait among all clients with mental illness. 2. Choice A is incorrect as it perpetuates the misconception by suggesting that most clients with mental illness are violent, even though de-escalation techniques can be used. 3. Choice C is incorrect as it implies that medications are the sole solution to prevent violent behaviors, which is not always the case. 4. Choice D is incorrect as it oversimplifies the issue by suggesting that only paranoid clients exhibit violent behaviors, which is not true for all clients with mental illness.
Question 5 of 9
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding that nonverbal cues can provide additional insights into a patient's true feelings or thoughts. Choice A is incorrect as it simply states a general observation without emphasizing the significance of nonverbal cues. Choice C is incorrect because assuming a patient's emotions based solely on body posture is not accurate or reliable. Choice D is incorrect as it undervalues the importance of nonverbal communication in understanding the complete message being conveyed.
Question 6 of 9
A psychiatric nurse is working in a community mental health center. They are completing an assessment on a 32-year-old pregnant female presenting with depression. They note that the client has not answered the questions about alcohol and tobacco use. Why is it important to gather this information?
Correct Answer: B
Rationale: The correct answer is B because assessing alcohol and tobacco use in a pregnant client with depression is crucial for providing comprehensive care. First, substance use can exacerbate mental health symptoms and impact treatment effectiveness. Second, substance use during pregnancy can harm both the mother and the unborn child, leading to adverse health outcomes. Third, this information is vital for developing a holistic care plan that considers both the mental health needs of the client and the safety of the unborn child. Choices A, C, and D are incorrect because: A: Failing to assess alcohol and tobacco use neglects essential information that can impact the client's well-being and treatment. C: Substance use during pregnancy can have significant long-term effects on the unborn child's health and development. D: Assessing alcohol and tobacco use is not optional, as it directly influences the client's mental health and the well-being of the unborn child.
Question 7 of 9
The nurse is assessing a 78-year-old client who lives alone in his own home. To assess the client's instrumental activities of daily living, which question would be most appropriate to ask?
Correct Answer: D
Rationale: The correct answer is D because assessing the client's ability to go to the store and buy groceries directly evaluates their instrumental activities of daily living (IADLs), which are crucial for independent living. This question helps determine the client's mobility, cognitive function, and ability to manage finances and nutrition. Choices A and B focus more on basic activities of daily living (ADLs) related to personal hygiene and clothing changes. Choice C is related to cooking meals, which is also an IADL but may not provide as comprehensive information about the client's overall independence compared to the ability to shop for groceries.
Question 8 of 9
What is the term for clients' movement between treatment settings?
Correct Answer: D
Rationale: The correct answer is D: transition of care. Transition of care refers to clients moving between treatment settings, ensuring continuity and coordination of care. Rehospitalization (A) specifically refers to clients being admitted back to the hospital. Adverse event (B) refers to harm resulting from medical care. Readmission (C) is similar to rehospitalization, specifically indicating clients being admitted back to a hospital after a previous discharge. Transition of care (D) is the most appropriate term as it encompasses the movement of clients between various healthcare settings beyond just hospitals.
Question 9 of 9
Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment?
Correct Answer: C
Rationale: The correct answer is C: "We've installed locks on all the outside doors." This statement shows an understanding of the need to prevent the patient with dementia from wandering off and getting lost or injured. Installing locks on outside doors helps to ensure the patient's safety by limiting their ability to leave the house unsupervised. This measure is crucial in providing a secure environment for someone with dementia. Explanation: A: The statement about the local police knowing the patient has wandered off before does not address the immediate need to prevent wandering and ensure safety. B: Keeping the noise level low in the house may be helpful for a patient with dementia, but it does not directly address the safety concern of wandering. D: Attaching the telephone number to the patient's shirt pocket is a good safety measure, but it does not address the primary concern of preventing the patient from wandering off.