ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
Correct Answer: A
Rationale: The correct answer is A. By having the patient's spouse mark refill dates on the family calendar, it promotes family involvement in medication management, enhancing adherence. It also serves as a visual reminder for both the patient and spouse, reducing the likelihood of missed refills. This collaborative approach strengthens the support system and helps prevent relapse.
Choice B is incorrect because it does not actively involve the patient or address the underlying issue of forgetfulness.
Choice C may not be as effective as involving the spouse directly in the process.
Choice D, while involving the patient, is too frequent and may not be necessary if the patient's stability can be maintained with proper support at home.
Question 2 of 5
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment.
Choices B, C, and D are incorrect because:
B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment.
C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses.
D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 3 of 5
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
Correct Answer: C
Rationale: The correct answer is C because participating in a problem-solving group helps reinforce self-responsibility in clients with antisocial personality disorder. By actively engaging in the group and contributing to solving problems, the client learns to take ownership of their actions and decisions. This can lead to increased accountability and self-awareness.
Explanation for why other choices are incorrect:
A: Developing attachments is not the primary goal of a problem-solving group for clients with antisocial personality disorder.
B: While setting boundaries is important, it is not the main focus of a problem-solving group.
D: Avoiding confrontation about dysfunctional patterns does not promote growth and self-responsibility, which is the main goal of the intervention.
Question 4 of 5
An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?
Correct Answer: C
Rationale: The correct answer is C because cognitive theories specifically focus on linking internal thought processes with behavior. Cognitive theories explore how individuals perceive, interpret, and process information, influencing their behavior.
Choice A is incorrect as it refers more to developmental theories.
Choice B is incorrect as it relates to behavioral theories.
Choice D is incorrect as it pertains to growth and development theories, not cognitive theories.
Therefore,
Choice C is the most accurate description of cognitive theories.
Question 5 of 5
A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following?
Correct Answer: B
Rationale: The correct answer is B because children often use fantasy to cope with their understanding of loss, as their cognitive development is not fully mature. Children may create alternate realities to help them process and make sense of difficult emotions. This coping mechanism is a common way for children to fill in the gaps in their understanding of loss.
A is incorrect because children grieve differently based on their age and developmental stage.
C is incorrect because families may grieve at different times, influenced by cultural, individual, and familial factors.
D is incorrect because children and adults have different cognitive and emotional abilities, leading to unique ways of grieving.