ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A group of nursing students are reviewing information about the evolution of mental health care and are discussing the recommendations of the final report of the Joint Commission on Mental Illness and Health. The students demonstrate understanding of this information when they identify that the report recommended an increase in which of the following?
Correct Answer: C
Rationale: The correct answer is C: Clinics supplemented by general hospital units. The Joint Commission on Mental Illness and Health recommended an increase in community-based mental health services, including clinics supplemented by general hospital units, to provide more accessible and comprehensive care for individuals with mental health issues. This shift in focus from institutional care to community-based services aimed to improve overall mental health care delivery and outcomes.
Incorrect choices:
A: Numbers of mental health hospitals - The report actually recommended a decrease in reliance on mental health hospitals.
B: State funding for mental health care - While funding is important, the report focused more on the type and delivery of mental health services rather than just funding.
D: Use of psychotherapy by psychiatrists - While psychotherapy is a valuable treatment modality, the report focused on broader system-level recommendations rather than specific treatment methods.
Question 2 of 5
On an inpatient psychiatric unit, the nurse explores feelings about potentially working with a woman whose husband has abused her and her children physically and verbally. This interaction would occur in which phase of the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A: Pre-interaction phase. In this phase, the nurse is preparing to meet the client, gathering information, and examining personal feelings and biases. By exploring feelings about working with an abused woman, the nurse is engaging in self-reflection and preparing to approach the interaction with awareness and sensitivity. The other choices are incorrect because in the orientation phase the nurse establishes rapport, in the working phase interventions are implemented, and in the termination phase the nurse evaluates outcomes and prepares for closure, none of which align with exploring personal feelings before meeting the client.
Question 3 of 5
A group of nursing students are reviewing information about Freud's personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Ego. The ability to form mutually satisfying relationships is a function of the ego in Freud's personality structure. The ego mediates between the id's instinctual drives and the superego's moral constraints, allowing individuals to interact with others in a socially acceptable manner. The ego helps balance personal desires with societal norms, enabling individuals to navigate relationships effectively.
Incorrect
Choices:
A: Defense mechanisms - Defense mechanisms are strategies used by the ego to manage anxiety and protect the individual from distressing thoughts or feelings. While defense mechanisms play a role in coping with conflicts, they are not directly responsible for forming satisfying relationships.
B: Unconscious - The unconscious contains repressed thoughts, memories, and desires that influence behavior. Although the unconscious plays a significant role in shaping personality, the ability to form satisfying relationships is not solely attributed to the unconscious.
C: Id - The id represents innate, primal drives seeking immediate gratification. While the id influences behavior and desires, it is
Question 4 of 5
Which level of prevention activities would a nurse in an emergency department employ most often?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (
A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (
C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (
D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.
Question 5 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening.
Explanation for incorrect choices:
A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention.
B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations.
D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.