Mental Health Final ATI -Nurselytic

Questions 20

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Mental Health Final ATI Questions

Question 1 of 5

Light projected into the retina is believed to trigger changes in sleep patterns and quality of sleep. Therefore the nurse should suggest:

Correct Answer: C

Rationale: The correct answer is C: Limiting use of electronic devices in the hour before bedtime. Exposure to blue light emitted by electronic devices can disrupt the production of melatonin, a hormone that regulates sleep. By limiting electronic device use before bedtime, the nurse can help the individual maintain a more natural sleep-wake cycle.
Choice A is not directly related to the impact of light on sleep patterns.
Choice B, exercising before bedtime, can actually stimulate the body and make it harder to fall asleep.
Choice D, dimming screens, is a good practice but may not be as effective as completely avoiding electronic devices before bedtime to optimize sleep quality.

Question 2 of 5

As part of a career day presentation to a group of nursing students, a psychiatric-mental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses?

Correct Answer: B

Rationale: The correct answer is B: Hildegarde Peplau. She is considered the mother of psychiatric nursing and played a major role in developing specialty training programs for psychiatric nurses. Peplau's interpersonal theory of nursing emphasized the importance of the nurse-patient relationship in mental health care, leading to the integration of psychological principles into nursing practice. Nutting (
A) was a nursing education pioneer, Bailey (
C) was known for her work in public health nursing, and Richards (
D) was the first trained nurse in the US, but they did not have the same impact on psychiatric nursing training as Peplau.

Question 3 of 5

A nurse is working as part of an interdisciplinary treatment team caring for patients with psychiatric disorders. Based on the nurse's understanding of cognitive behavioral therapy (CBT) and its limitations cited by critics, the nurse would identify which patient as an inappropriate candidate for CBT?

Correct Answer: C

Rationale: The correct answer is C, a patient diagnosed with schizophrenia. CBT may not be suitable for individuals with severe cognitive impairments like those with schizophrenia. Schizophrenia can affect a person's ability to engage in cognitive processes necessary for CBT, such as reality testing and cognitive restructuring. Patients with schizophrenia may struggle with delusions, hallucinations, and disorganized thinking, making it challenging to benefit from traditional CBT techniques. Substance abuse (
A), depression (
B), and eating disorders (
D) are conditions that have shown to respond well to CBT techniques, making them appropriate candidates for treatment.

Question 4 of 5

The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important?

Correct Answer: A

Rationale: The correct answer is A: Suicide. Assessing for suicide risk is crucial before prescribing a tricyclic antidepressant due to the potential increase in suicidal ideation in the initial phase of treatment. Suicide risk assessment helps in determining the level of monitoring and support needed for the client.

Choices B, C, and D are incorrect as hypersomnia, cardiac arrhythmia, and erectile dysfunction are not directly related to the initiation of tricyclic antidepressants and do not pose an immediate risk to the client's safety compared to suicidal ideation.

Question 5 of 5

Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient? The patient

Correct Answer: A

Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands indicates a positive self-perception and mental strength, aligning with the goal of demonstrating mentally healthy behavior.
Choice B is incorrect as it describes impulsive behavior, which is not indicative of mental health.
Choice C suggests aggressive and selfish behavior, which goes against mental health principles.
Choice D, seeking help when needed, is important but does not directly demonstrate the achievement of mentally healthy behavior like choice A does.

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