ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 5
Which statement made by a family member tends to support a diagnosis of delirium rather than dementia?
Correct Answer: A
Rationale: The correct answer is A because the sudden onset of confusion is a key characteristic of delirium, whereas dementia typically has a gradual progression.
Choice B suggests a symptom of dementia - progressive memory loss.
Choice C indicates a hallucination, which can occur in both delirium and dementia.
Choice D describes memory and cognitive impairment, which can be seen in both conditions but is more indicative of dementia due to the chronic nature of forgetfulness.
Question 2 of 5
The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C because OCD symptoms typically worsen with stress due to increased anxiety triggering obsessions and compulsions. This understanding is crucial for the family to help manage the condition effectively. Option A is incorrect because thoughts in OCD are intrusive and involuntary. Option B is incorrect as immediate attention may reinforce the symptoms. Option D is incorrect as OCD can respond well to treatment approaches like therapy and medication.
Question 3 of 5
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient
Correct Answer: D
Rationale: The correct answer is D because the patient is experiencing command auditory hallucinations that pose an imminent threat to themselves or others. This is indicative of acute psychosis requiring immediate psychiatric intervention.
Choice A is experiencing common emotional distress and can be managed on an outpatient basis.
Choice B has self-inflicted minor harm but does not present an immediate danger.
Choice C is likely experiencing side effects of medication and can be managed without urgent inpatient care. In summary, only choice D presents a clear and immediate risk that necessitates admission to the psychiatric unit.
Question 4 of 5
The nurse is assessing a client who has a history of heavy drinking and who lost his wife to cancer during the previous year. He reports that he isn't getting as much sleep as he used to when he was younger. Which question would be most appropriate to ask the client to determine if the change in his sleep pattern is related to normal aging or depression?
Correct Answer: B
Rationale: The correct answer is B: "Is it hard for you to fall asleep or remain asleep during the night?" This question is most appropriate because it directly addresses the client's current sleep issues and can provide insights into whether he is experiencing symptoms of depression, such as insomnia or disrupted sleep patterns. By focusing on the client's sleep difficulties, the nurse can better assess if the changes are related to normal aging or if they are indicative of an underlying mood disorder like depression.
Choice A is incorrect as it does not address the client's current sleep problems.
Choice C is not relevant to the client's sleep patterns and focuses on alcohol consumption.
Choice D is also irrelevant to the client's sleep issues and does not directly assess potential depressive symptoms.
Question 5 of 5
A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: The correct answer is A: "How do you feel about that?" This response is nonjudgmental as it focuses on exploring the patient's feelings rather than imposing the nurse's opinion. By asking about the patient's emotions, the nurse shows empathy and encourages self-reflection.
Summary of why the other choices are incorrect:
B: "I am glad that you realize this." - This response implies judgment by expressing personal feelings, which may make the patient feel criticized.
C: "That's not a good way to behave." - This choice is judgmental and may lead to the patient feeling defensive or ashamed.
D: "Have you outgrown that type of behavior?" - This response is presumptive and also implies judgment by suggesting that the behavior should have already been outgrown.