ATI Mental Health Questions

Question 1 of 5

April, a 10-year-old admitted to inpatient pediatric care, has been becoming increasingly agitated and losing control in the day room. Time-out has proven to be ineffective for April to engage in self-reflection. April's mother mentions using time-out up to 20 times a day. The nurse acknowledges that:

A. Time-out is a crucial aspect of April's baseline discipline. B. Time-out is no longer an effective intervention. C. April finds enjoyment in time-out and misbehaves to seek solitude. D. Time-out will have to be replaced with seclusion and restraint.

Correct Answer: B

Rationale: The scenario describes how April's behavior is not improving with the frequent use of time-out, indicating that it is no longer an effective intervention. When a strategy such as time-out loses its effectiveness due to overuse, it is crucial to explore alternative therapeutic measures to address the underlying issues effectively.

Question 2 of 5

The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer, 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:

A. The need to dominate others B. Inventing traumatic events C. A need to develop close relationships D. A potential symptom of traumatization

Correct Answer: D

Rationale: When an 8-year-old boy engages in playacting as a police officer that instills fear in other children, it can be indicative of a potential symptom of traumatization. This behavior may reflect the child's attempt to process or express experiences of trauma, leading to a manifestation of such distress in his play interactions with others.

Question 3 of 5

Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, "I don't need to come see you anymore. I have found a therapy app on my phone that I love." How should Carolina respond to this news?

A. That sounds exciting; would you be willing to visit and show me the app? B. At this time, there is no real evidence that the app can replace our therapy. C. I am not sure that is a good idea right now; we are so close to progress. D. Why would you think that is a better option than meeting with me?

Correct Answer: A

Rationale: Carolina should respond by showing interest in the app, as it can help maintain the therapeutic relationship and provide an opportunity to evaluate the app's effectiveness together. By asking the patient to visit and show the app, Carolina demonstrates openness to exploring new tools that the patient finds helpful, while also ensuring that the patient's well-being remains a priority. This approach fosters communication, allows for a collaborative discussion on how the app fits into the patient's treatment plan, and may potentially address any concerns or misconceptions the patient has about the app replacing traditional therapy.

Question 4 of 5

What assessment question will provide insight into the effects of a woman's circadian rhythms on her quality of life?

A. How much sleep do you usually get each night? B. Does your heart ever seem to skip a beat? C. When was the last time you had a fever? D. Do you have problems urinating?

Correct Answer: A

Rationale: Inquiring about the amount of sleep a woman gets each night is crucial in understanding how her circadian rhythms may be affecting her quality of life. Circadian rhythms play a significant role in regulating sleep-wake cycles, and disruptions in these rhythms can impact overall well-being and quality of life.

Question 5 of 5

A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing:'

A. A higher dosage B. Once-a-week dosing C. A lower dosage D. A different drug

Correct Answer: C

Rationale: In the maintenance therapy stage for bipolar disorder, a lower dosage of lithium is often prescribed to prevent toxicity and maintain stability while minimizing side effects. Lower doses are typically used once the patient has achieved mood stabilization to reduce the risk of adverse effects associated with long-term lithium use.

Nurselytic

ATI LPN

ATI LPN