ATI RN
Mental Health 6 Practice Questions Questions
Question 1 of 5
Which of the following questions would be most helpful in beginning an initial assessment interview for a patient who has just been admitted to a psychiatric inpatient unit?
Correct Answer: B
Rationale:
Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission.
Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment.
Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention.
Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships.
Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.
Question 2 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 3 of 5
A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?
Correct Answer: D
Rationale: The correct answer is D because in bulimia nervosa, individuals often have enmeshed relationships with their mothers, feeling overly dependent or fused with them.
Choice D suggests a healthy boundary between the client and her mother, indicating a level of independence not typically associated with bulimia nervosa.
Choices A, B, and C all align with common themes seen in individuals with bulimia nervosa, such as seeking emotional support from the mother, feeling responsible for the mother's emotions, and experiencing a lack of structure or rules within the family dynamic.
Question 4 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 5 of 5
A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Suicide. In Asian American, Polynesian, and Pacific Islander cultures, there are high rates of suicide due to various factors such as stigma around mental health, cultural norms, and social pressures. Suicide prevention efforts are crucial in these communities.
Incorrect choices:
A: Schizophrenia - While schizophrenia can affect individuals in any cultural group, it is not specifically associated with higher rates in Asian Americans, Polynesians, and Pacific Islanders.
B: Manic disorders - Manic disorders are not typically identified as being prevalent in these cultural groups.
C: Dementia - Dementia is not culturally specific and does not have higher rates in Asian Americans, Polynesians, and Pacific Islanders compared to other groups.