ATI RN
Mental Health Exam 1 Practice Questions Questions
Question 1 of 5
A nurse is assessing a patient with a psychiatric illness. The nurse interprets which patient statement as reflecting the concept of cognitive triad?
Correct Answer: A
Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad.
Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view.
Choice C is incorrect as it describes the bosses and not the patient's own thoughts.
Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.
Question 2 of 5
How can nurses use informatics and technology innovation in their practice?
Correct Answer: B
Rationale: The correct answer is B because utilizing telehealth services allows nurses to provide care remotely, improving access and efficiency. Telehealth utilizes technology to deliver healthcare services, enhancing communication and monitoring. This option aligns with the use of informatics to improve patient outcomes.
Choices A, C, and D are incorrect as avoiding electronic health records limits efficiency, relying on paper records is outdated and inefficient, and ignoring technology trends hinders progress and innovation in healthcare practice.
Question 3 of 5
A client states to the nurse,"I'm thinking about ending it all." Which response by the nurse would be an example of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy and reflects the client's feelings. It acknowledges the client's emotions without judgment, which can help establish trust.
Choice A is incorrect as it can come off as dismissive.
Choice B is inappropriate as it diverts attention from the client's feelings.
Choice C is also incorrect as it can be perceived as confrontational and may discourage the client from expressing their emotions further. In summary, option D is the most appropriate response as it shows empathy and validates the client's emotions.
Question 4 of 5
The nurse makes a home visit to a client who has dysthymic disorder. Which of the following would the nurse expect to assess?
Correct Answer: A
Rationale: The correct answer is A: Low energy. Dysthymic disorder is characterized by persistent low mood, which often leads to decreased energy levels. Individuals with dysthymic disorder may experience fatigue, lack of motivation, and difficulty engaging in activities. Intense concentration (
B) is not typically associated with dysthymic disorder, as individuals may have difficulty focusing due to their low energy and mood. Agitation (
C) is more commonly seen in conditions such as anxiety disorders, rather than dysthymic disorder. Normal appetite (
D) may or may not be present in individuals with dysthymic disorder, as appetite changes can vary among individuals.
Question 5 of 5
Which assessment finding for a patient diagnosed with serious and persistent mental illness and living in the community merits priority intervention by the psychiatric nurse? The patient
Correct Answer: B
Rationale: The correct answer is B because missing Alcoholics Anonymous meetings can indicate a potential relapse for the patient, posing a significant risk to their mental health. Attending regular meetings is crucial for maintaining sobriety and managing mental illness. Option A is not a priority as the patient's financial situation is stable. Option C is not an immediate concern as living with other patients in partial hospitalization programs may provide support. Option D, while important for the patient's emotional well-being, does not present an immediate risk that requires priority intervention.