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ATI MENTAL HEALTH AND PSYCHIATRIC
NURSING NCLEX QUESTIONS AND
CORRECT VERIFIED ANSWERS 2025
- A nurse is caring for a client who is experiencing a panic attack. Which of the
- Teach the client relaxation techniques
- Administer a PRN anxiolytic
- Stay with the client and remain quiet
- Encourage the client to talk about their feelings
following actions should the nurse take first?
Answer: C. Stay with the client and remain quiet
Rationale: During a panic attack, the priority is to stay with the client and offer a calm presence. Teaching or medication can follow once the client is stabilized.
- A client is experiencing auditory hallucinations. Which response by the nurse is
- “What are the voices saying to you?”
- “I don’t hear anything, so you must be imagining it.” 1 / 4
appropriate?
- “You’re safe now. Ignore the voices.”
- “Let’s watch some television to distract you.”
Answer: A. “What are the voices saying to you?”
Rationale: This therapeutic response assesses the content of hallucinations to
determine risk, such as suicidal or homicidal ideation.
- A nurse is reinforcing teaching with a client who has depression and is
- “I should feel better within 24 hours.”
- “I need to avoid foods high in tyramine.”
- “It might take a few weeks before I feel better.”
- “I can stop taking the medication once I feel better.”
beginning amitriptyline therapy. Which statement indicates understanding?
Answer: C. “It might take a few weeks before I feel better.”
Rationale: Tricyclic antidepressants like amitriptyline can take 2-4 weeks to
reach full effect.
- Which client behavior indicates a need for immediate intervention?
- Isolating self in their room
- Giving away personal belongings
- Sleeping more than usual 2 / 4
- Expressing feelings of worthlessness
Answer: B. Giving away personal belongings
Rationale: This is a warning sign of potential suicide and requires immediate
intervention.
- A nurse is caring for a client with schizophrenia who is taking risperidone.
- Weight gain
- Sedation
- Drooling
- Fever
Which finding is the priority to report?
Answer: D. Fever
Rationale: Fever may indicate neuroleptic malignant syndrome, a
lifethreatening reaction.
- A client with bipolar disorder is in the manic phase. Which intervention is
- Encourage group activities
- Provide high-calorie finger foods
- Offer detailed educational material 3 / 4
appropriate?
- Place the client in a shared room
Answer: B. Provide high-calorie finger foods
Rationale: Clients in mania often don’t sit for meals, so portable nutrition helps prevent weight loss.
- Which of the following is a priority for a client withdrawing from alcohol?
- Monitor for auditory hallucinations
- Observe for signs of seizures
- Encourage fluid intake
- Provide a quiet environment
Answer: B. Observe for signs of seizures
Rationale: Alcohol withdrawal can lead to seizures, a potentially fatal
complication.
- A nurse is using therapeutic communication with a client. Which statement is
- “Everything will be fine.”
- “Tell me more about how you’re feeling.”
- “Why did you do that?”
- “You should try to cheer up.”
- / 4
appropriate?
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