Mental Health ATI Book -Nurselytic

Correct Answer: B

Rationale: The correct answer is B because only advanced practice nurses, such as psychiatric nurse practitioners, have the authority to prescribe psychotropic medication. This action requires specialized training and legal authorization beyond the scope of practice for staff nurses.


Choice A is incorrect because staff nurses are trained to perform mental health assessments as part of their regular duties.
Choice C is incorrect as establishing therapeutic relationships is a fundamental nursing skill that all nurses, including new staff nurses, are expected to possess.
Choice D is incorrect because individualizing nursing care plans is a standard practice for all nurses based on the patient's specific needs.

Correct Answer: C

Rationale: The correct answer is C: Running amok. A culture-bound syndrome is a psychological disorder specific to a certain culture or region. Running amok is a term used in Southeast Asia to describe a sudden outburst of violent behavior. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed worldwide.
Therefore, the correct answer is C as it fits the definition of a culture-bound syndrome.

Correct Answer: B

Rationale: The correct answer is B because it accurately distinguishes between bereavement and grief. Bereavement refers to the process of mourning, while grief refers to the emotional reaction to loss. This understanding shows comprehension of the concepts involved in coping with loss.


Choice A is incorrect because grief and bereavement are not used interchangeably; they represent different aspects of the loss experience.
Choice C is incorrect as grief and bereavement both involve confronting the stress and emotions related to loss.
Choice D is incorrect as both bereavement and grief can be influenced by culture.

Correct Answer: B

Rationale: The correct answer is B, "Offering self." This is because when a nurse makes themselves available and provides emotional support, they are offering their presence and support to the client, showing empathy and readiness to assist. This approach helps build a therapeutic relationship and provides a safe space for the client to express their feelings.

Now, let's analyze the other choices:
A: "Focusing" involves directing the conversation to a specific topic or issue, which is different from providing emotional support.
C: "Restating" is a technique used to clarify and confirm understanding of the client's message, not necessarily providing emotional support.
D: "Giving recognition" involves acknowledging the client's efforts or progress, which is not the same as offering emotional support.

In summary, "Offering self" is the most appropriate choice as it aligns with the nurse's role in providing emotional support and being present for the client in a therapeutic manner.

Correct Answer: D

Rationale: The correct answer is D because insomnia, particularly early morning awakening, is a common symptom of major depressive disorder. This symptom is often associated with the inability to fall back asleep and can lead to significant fatigue and impairment during the day. It is important to note that sleep disturbances are a key criterion for diagnosing depression.

A, B, and C are incorrect because restlessness (choice
A) is more commonly associated with anxiety disorders, excessive studying for future goals (choice
B) may indicate high achievement motivation rather than depressive symptoms, and unintentional weight loss (choice
C) can be a sign of various medical conditions but is not specific to major depressive disorder.