Questions 11

ATI RN

ATI RN Test Bank

Psychiatric Mental Health Nursing Practice Questions Questions

Question 1 of 5

A group of nursing students are reviewing information about internal rights protection systems. The students demonstrate understanding of this information when they identify which of the following as an example?

Correct Answer: D

Rationale: The correct answer is D: The Joint Commission. The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations based on quality and safety standards. It establishes and enforces internal rights protection systems to ensure patient rights are respected. The other choices do not specifically focus on accrediting and certifying healthcare organizations or ensuring internal rights protection systems. The American Hospital Association and American Public Health Association are professional organizations that advocate for healthcare policies. State mental health providers typically focus on delivering mental health services rather than accrediting healthcare organizations.

Question 2 of 5

The plan of care for a patient with schizophrenia identifies the following outcomes. Which of the following would the nurse identify as addressing the biologic domain? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C because minimizing adverse effects of drug therapy directly relates to the biological domain of care for a patient with schizophrenia. This outcome focuses on managing the physical effects of medication, which is a key aspect of addressing the biological needs of the patient. Improving problem-solving skills (
A) falls under the cognitive domain, promoting economic stability (
B) relates to the financial domain, improving nutritional status (
D) addresses the physical domain, and providing family education (E) pertains to the psychosocial domain.

Question 3 of 5

When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?

Correct Answer: A

Rationale: The correct answer is A (Behaviors) because, when integrating the Neuman systems model for a patient with a mood disorder, the nurse would focus on the patient's behaviors to assess how the disorder is impacting their daily functioning and interactions. By observing behaviors, the nurse can gain insights into the patient's coping mechanisms, emotional responses, and overall mental health status. This information is crucial for developing a tailored care plan that addresses the patient's specific needs.

Summary of why other choices are incorrect:
- Relationships (
B): While relationships may play a role in the patient's mental health, the primary focus in the Neuman systems model for a patient with a mood disorder is on individual behaviors.
- Self-care activities (
C): While self-care is important, it may not be the primary focus when caring for a patient with a mood disorder using the Neuman systems model.
- Stressors (
D): While stressors can contribute to a mood disorder, the Neuman systems model emphasizes the assessment of

Question 4 of 5

A nurse is providing care to a patient with a mental disorder classified by the DSM- IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a patient, a truly accurate picture of the client is incomplete without considering other factors such as an estimate of current functioning and:

Correct Answer: A

Rationale:
Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health.

Step 2: Life stressors can significantly affect the course and severity of mental disorders.

Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors.

Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors.
Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.

Question 5 of 5

Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?

Correct Answer: D

Rationale:
Rationale:
1. Axis I: Focuses on clinical disorders; Mrs. Green's experiences are not related to a specific mental disorder.
2. Axis II: Focuses on personality disorders and mental retardation; not applicable to Mrs. Green's situation.
3. Axis III: Focuses on general medical conditions; Mrs. Green's mother's cancer diagnosis falls under this axis.
4. Axis IV: Focuses on psychosocial and environmental stressors; Mrs. Green's trauma from her dog's death and mother's illness fits here.

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