ATI RN
Mental Health And Mental Illness Practice Questions Questions
Question 1 of 5
A nurse prepares to assess a new patient who moved to the United States from Central America 3 years ago. After introductions, what is the nurse's next comment?
Correct Answer: D
Rationale: The correct next comment for the nurse is D: "Are you comfortable conversing in English, or would you prefer to have a translator present?" This is the best choice because it directly addresses the patient's language preference and ensures effective communication. By asking this question, the nurse demonstrates cultural sensitivity and respect for the patient's linguistic needs. It also shows a willingness to accommodate the patient's communication preferences, promoting trust and understanding in the healthcare setting.
Choice A is incorrect as it focuses on the patient's journey to the U.S., which is unrelated to the immediate healthcare assessment.
Choice B assumes the patient needs help from a family member without first assessing the patient's language proficiency.
Choice C, while offering an interpreter, does not directly inquire about the patient's language preference, potentially overlooking the patient's comfort level with English.
Question 2 of 5
During a group session, one of the members states, 'Let's keep this discussion going so that everyone can participate, but let's keep the time each person speaks to about 3 minutes.' The leader interprets this member as acting in which role?
Correct Answer: B
Rationale: The correct answer is B: Gatekeeper. The member is facilitating the group by ensuring equal participation and time management. Gatekeepers help maintain communication flow and ensure everyone has a chance to speak. They focus on group dynamics and encourage participation without dominating the conversation. Group observer (
A) mainly watches and records group interactions. Encouragers (
C) provide support and positive feedback. Energizers (
D) motivate and stimulate group energy but may not necessarily focus on time management.
Question 3 of 5
A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?
Correct Answer: D
Rationale: The correct answer is D: Risk-taking behavior. Impulsiveness is a key characteristic of ADHD, and risk-taking behavior is a clear manifestation of impulsiveness in children with ADHD. Children displaying risk-taking behavior often act without considering consequences or engaging in dangerous activities. In contrast, choices A, B, and C are more indicative of hyperactivity and inattention rather than impulsiveness. Inability to wait his turn (
A) is related to impulse control, restlessness (
B) is associated with hyperactivity, and difficulty completing a task (
C) is linked to inattention.
Therefore, choice D is the most appropriate reflection of impulsiveness in a child with ADHD.
Question 4 of 5
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.
Question 5 of 5
A person says, "I was the only survivor in a small plane crash. Three business associates die I got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and I'm better now." Which type of therapy was used?
Correct Answer: D
Rationale: The correct answer is D: Interpersonal psychotherapy. This therapy focuses on improving interpersonal relationships and communication skills to address emotional issues. In the scenario, the person sought help for feelings related to survivor's guilt, which falls under the scope of interpersonal psychotherapy. The counselor likely helped the person process emotions, improve coping strategies, and enhance social support.
A: Systematic desensitization is used to treat phobias by gradually exposing the individual to the feared object or situation to reduce anxiety.
B: Psychoanalysis involves exploring unconscious conflicts and childhood experiences over an extended period.
C: Behavior modification focuses on changing specific behaviors through reinforcement and punishment techniques.