ATI RN
Psychiatric Nursing Practice Questions Questions
Question 1 of 5
A nurse is faced with an ethical dilemma involving a patient. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision making?
Correct Answer: B
Rationale: The correct answer is B because ethical decision-making requires examining assumptions and seeking more information before making a judgment. By questioning assumptions, the nurse can avoid biases and ensure decisions are based on accurate data. This step is crucial in understanding the full context of the ethical dilemma and considering all perspectives involved.
Choices A, C, and D are incorrect because focusing on personal feelings, existing knowledge, or patient values alone may not address the root of the ethical issue or lead to a comprehensive decision-making process.
Question 2 of 5
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a specific disease or condition within a defined time period. In this scenario, the nursing student is reviewing the number of persons newly diagnosed with major depression in the past year, which aligns with the concept of incidence. This information helps in understanding the risk of developing major depression in a given population over a specific time frame.
Now, let's analyze why the other choices are incorrect:
A: Rate - This term is too broad and does not specifically address the number of new cases within a defined period.
B: Prevalence - Prevalence refers to the total number of cases (both new and existing) of a disease within a specific population at a given time, not just new cases.
C: Point prevalence - This term specifically refers to the proportion of a population that has a particular condition at a specific point in time, not the number of new cases within a specific period.
Question 3 of 5
A patient’s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
Correct Answer: A
Rationale: The correct answer is A: 94. A score of 94 indicates minimal symptoms with good functioning. The Global Assessment of Functioning (GAF) scale ranges from 1 to 100, with higher scores indicating better functioning. A score of 94 implies minimal to no symptoms and excellent functioning in all areas.
Incorrect
Choices:
B: 82 - This score suggests mild symptoms or moderate difficulty in social, occupational, or school functioning.
C: 75 - Indicates symptoms that are transient and expectable reactions to psychosocial stressors.
D: 63 - Indicates moderate symptoms or moderate difficulty in social, occupational, or school functioning.
Question 4 of 5
The nurse is integrating Peplau’s model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?
Correct Answer: C
Rationale: The correct answer is C: Self-care. Peplau's model emphasizes the therapeutic nurse-patient relationship, where the nurse helps the patient develop self-awareness, self-understanding, and self-care skills. By identifying self-care as a key component, the nurse promotes the patient's independence and empowerment in managing their mental illness.
Incorrect choices:
A: Suffering - While suffering may be a part of the patient's experience, it is not a key component in Peplau's model.
B: Anxiety - Although anxiety may be present in a patient with mental illness, it is not a central focus of Peplau's model.
D: Nonverbal behaviors - While nonverbal behaviors are important in communication, they are not a key component in Peplau's model, which focuses more on the therapeutic relationship and patient-centered care.
Question 5 of 5
After teaching a class about competency and how it is assessed, the nursing instructor determines the need for additional instruction when the class identifies which ability as being evaluated?
Correct Answer: A
Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (
B) is essential, appreciation for situation and consequences (
C) demonstrates critical thinking, and discussion of what is right and wrong (
D) reflects ethical reasoning, but communication is crucial for effective nursing practice.
Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.