Practical Nursing (PN) – Comprehensive Practice
Questions and Exam Review
Introduction:
This document contains a comprehensive collection of ATI-style
Mental Health Nursing questions and answers for Practical Nursing
(PN) students. It covers essential topics including therapeutic
communication, anxiety disorders, mood disorders, schizophrenia,
personality disorders, neurocognitive disorders, eating disorders,
crisis intervention, psychopharmacology, substance use disorders,
legal and ethical issues, community mental health, grief, and
pediatric mental health nursing. The material is presented in a
question-and-answer format with updated rationales, making it an
excellent study guide for ATI exams, NCLEX-PN preparation, and
classroom review.
Exam Questions and Answers
A client says she is experiencing increased stress because her
significant other is "pressuring me and my kids to go live with him.
I love him, but I'm notready to do that." Which of the following
recommendations should the nurse make to promote a change in
the client's situation?
A. Learn to practice mindfulness.
B. Use assertiveness techniques.
C. Exercise regularly.
,D. Rely on the support of a close friend. - ANSB. Use assertiveness
techniques.
A nurse is caring for a client who states, "I'm so stressed at work
because of my coworker. He expects me to finish his work because
he's too lazy!" When discussing effective communication, which of
the following statements by the client to his coworker indicates
client understanding?
a. "You really should complete your own work. I don't think it's
right to expect me to complete your responsibilities."
B."Why do you expect me to finish your work? You must realize
that I have my own responsibilities."
C."It is not fair to expect me to complete your work. If you continue,
then I will report your behavior to our supervisor."
D."When I have to pick up extra work, I feel very overwhelmed. I
need to focus on my own responsibilities." - ANSD."When I have to
pick up extra work, I feel very overwhelmed. I need to focus on my
own responsibilities."
A nurse is providing teaching for a client who is scheduled to
receive eCt for the treatment of major depressive disorder. Which
of the following client statements indicates understanding of the
teaching?
a. "it is common to treat depression with ECT before trying
medications."
,B. "I can have my depression cured if i receive a series of ECT
treatments."
C."I should receive ECT once a week for 6 weeks."
D. "I will receive a muscle relaxant to protect me from injury
during ECT." - ANSD. "I will receive a muscle relaxant to protect
me from injury during ECT."
A charge nurse is discussing TMD with a newly licensed nurse.
Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
a. "TMS is indicated for clients who have schizophrenia spectrum
disorders."
B. "I will provide postanesthesia care following TMS."
C."TMS treatments usually last 5 to 10 minutes."
D. "I will schedule the client for daily TMS treatments for the first
several weeks." - ANSD. "I will schedule the client for daily TMS
treatments for the first several weeks."
(TMS is indicated for the treatment of major depressive disorder
that is not responsive to pharmacological treatment. ECT is
indicated for the treatment of schizophrenia spectrum disorders.)
A nurse is assessing a client immediately following an ECT
procedure. Which of the following findings should the nurse
expect? (Select all that apply.)
A. hypotension
B. paralytic ileus
C. memory loss
, D. nausea
E. Confusion - ANSC. memory loss
D. nausea
E. Confusion
A nurse is leading a peer group discussion about the indications for
ECT. Which of the following indications should the nurse include in
the discussion?
a. Borderline personality disorder
B. acute withdrawal related to a substance use disorder
C. Bipolar disorder with rapid cycling
D. Dysphoric disorder - ANSC. Bipolar disorder with rapid cycling
A nurse is planning care for a client following surgical implantation
of a VnS device. the nurse should planto monitor for which of the
following adverse effects? (Select all that apply.)
a. Voice changes
B. Seizure activity
C. Disorientation
D. Dysphagia
e. neck pain - ANSa. Voice changes
D. Dysphagia
e. neck pain
A nurse observes a client who has