ATI RN
Mental Health 6 Practice Questions Questions
Question 1 of 5
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (
A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (
C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (
D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.
Question 2 of 5
A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: dyslexia. Dyslexia is a specific learning disability that affects reading and related language-based processing skills. In this case, the child's lack of interest in reading, frustration with schoolwork, and difficulty understanding the material points towards dyslexia. Dysphagia (choice
A) is difficulty swallowing, not related to reading. Dyscalculia (choice
B) is a learning disability related to math, not reading. Dysgraphia (choice
C) is a learning disability related to writing, not reading.
Therefore, based on the symptoms described, dyslexia is the most likely diagnosis.
Question 3 of 5
A parent says, 'My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?' Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence."
Rationale:
1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors.
2.
Toilet training readiness varies among children, and it is not uncommon for some to resist training until later.
3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase.
Summary:
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Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy.
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Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems.
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Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.
Question 4 of 5
An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?
Correct Answer: A
Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients.
Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm.
Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive.
Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.
Question 5 of 5
What is the benefit of biological theory, related to perspectives on mental illness?
Correct Answer: D
Rationale: The correct answer is D because biological theory emphasizes that mental illnesses have biological origins, reducing the misconception that they are solely due to personal weakness or character flaws. This understanding decreases stigma by promoting the view that mental illnesses are medical conditions that can be treated.
Choice A is incorrect as there is no universal cure for all psychiatric disorders.
Choice B is incorrect as medication is not the only treatment option, and not all clients may need or benefit from medication.
Choice C is incorrect as providers' compassion is not directly related to biological theory but rather to their individual attitudes and training.