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ATI RN · ATI Mental Health · Nclex Mental Health Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?

A. Devising an escape route

B. Recognizing the signs of danger

C. Identifying a safe place to hide

D. Identifying a signal to indicate it is safe to leave

Expert Explanatory Rationale

Correct Answer: Recognizing the signs of danger

Question 2 of 5

A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?

A. Risk for Injury related to effects of alcohol abuse

B. Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes

C. Risk for Other-Directed Violence related to alcohol withdrawal

D. Risk for Delayed Development related to chronic effects of alcohol intoxication

Expert Explanatory Rationale

Correct Answer: Risk for Other-Directed Violence related to alcohol withdrawal

Question 3 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?

A. Ask the client to ask her husband to leave the unit.

B. Remind the client's husband of the unit rules.

C. Ask the husband to come to the nurse's station to talk about his feelings.

D. Sit with the client and her husband to begin discussing anger issues.

Expert Explanatory Rationale

Correct Answer: Remind the client's husband of the unit rules.

Question 4 of 5

A nurse is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care?

A. Draw a troponin level every four hours

B. Performance EKG every 12 hours

C. Plant oxygen tent fell over minutes via rebreather mask

D. Obtain a cardiac rehabilitation consult

Expert Explanatory Rationale

Correct Answer: Draw a troponin level every four hours

Question 5 of 5

A couple is concerned that the husband's father may be developing depression. In questioning the couple, which of the following statements would support their concern?

A. Dad has been crying off and on now for over 2 weeks since Mom died. He's also still having trouble sleeping.'

B. Dad is agitated and anxious; he's been that way for a month now since Mom died.'

C. It's been over 2 months now since Mom died, and Dad keeps crying; he can't eat or sleep.'

D. Mom's funeral was last week, and Dad hasn't been able to eat or sleep since then.'

Expert Explanatory Rationale

Correct Answer: It's been over 2 months now since Mom died, and Dad keeps crying; he can't eat or sleep.'

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