ATI RN
RN ATI Capstone Mental Health Quiz Questions
Question 1 of 5
Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:
Correct Answer: D
Rationale: The correct answer is D: Lurasidone (Latuda). Lurasidone is an atypical antipsychotic commonly used to treat bipolar disorder. It helps stabilize mood and reduce symptoms of mania. Given Ted's history of bipolar I and manic episodes, lurasidone is an appropriate choice. Clonazepam (
A) is a benzodiazepine used for anxiety, not mania. Fluoxetine (
B) is an SSRI antidepressant, which can potentially worsen manic symptoms. Electroconvulsive therapy (
C) is typically reserved for severe cases or when other treatments have failed, and may not be necessary in Ted's case. Lurasidone (
D) is the most suitable option for managing Ted's mania while considering his medical history and current treatment.
Question 2 of 5
Many people allow life circumstances to dictate their amount of sleep instead of recognizing sleep as a priority. Which statement will the nurse recognize as progress in the patient's sleep hygiene program?
Correct Answer: D
Rationale: The correct answer is D because removing the television from the bedroom is a positive step towards improving sleep hygiene. TVs emit blue light, which can disrupt sleep. This action creates a better sleep environment.
A: Going to bed when not sleepy can lead to frustration, making it harder to fall asleep.
B: Consuming alcohol before bed can disrupt sleep patterns and quality.
C: Taking daily naps can interfere with the ability to fall asleep at night and disrupt the sleep-wake cycle.
Question 3 of 5
The nurse is planning care, which includes a dual-diagnosis group. Which patient would be appropriate for this group? The patient with:
Correct Answer: D
Rationale: The correct answer is D: Schizophrenia and alcohol abuse. This combination is appropriate for a dual-diagnosis group because it involves both a severe mental illness (schizophrenia) and a substance abuse issue (alcohol abuse). Patients with schizophrenia often have co-occurring substance abuse disorders, making them suitable for a dual-diagnosis group to address both issues simultaneously. This group can provide comprehensive treatment and support for individuals struggling with complex mental health and substance abuse issues.
Choices A, B, and C are incorrect because they do not involve the combination of a severe mental illness and a substance abuse issue, which is essential for a dual-diagnosis group.
Choice A (Depression and suicidal tendencies) may benefit from a different type of group focused on mood disorders and suicide prevention.
Choice B (Anxiety and frequent migraine headaches) may require a group focused on stress management and pain coping strategies.
Choice C (Bipolar disorder and anorexia nervosa) may benefit from a group addressing
Question 4 of 5
What are the three components of evidence-based practice?
Correct Answer: A
Rationale: The correct answer is A: research/client preference/nurse competency. Evidence-based practice involves integrating the best available research evidence with a patient's preferences and the nurse's clinical expertise. Research ensures interventions are based on proven effectiveness. Client preference acknowledges the importance of individual needs and values. Nurse competency ensures that care is delivered skillfully.
Choice B (nurse experience/collaboration/teamwork) lacks the essential component of research evidence, which is crucial for evidence-based practice. While collaboration and teamwork are important, they do not encompass all three components.
Choice C (research/client safety/client preference) includes client safety, which is essential but does not cover nurse competency, a key component of evidence-based practice.
Choice D (nurse experience/client teaching/delegation) misses the mark by not including research evidence and client preference, which are integral to evidence-based practice. Delegation and client teaching are important but not part of the core components.
Question 5 of 5
A client believes that their uterus was removed when they had a gynecological examination. Despite evidence on ultrasound that it is still intact, they hold firm to the belief. What delusion is the client experiencing?
Correct Answer: D
Rationale: The correct answer is D: somatic. This client is experiencing a somatic delusion, which involves a false belief about the body or its functions. In this case, the client believes their uterus was removed despite evidence to the contrary. This delusion is specific to bodily functions or sensations.
A: Grandiose delusions involve an exaggerated sense of importance or power, not related to bodily functions.
B: Jealous delusions involve unfounded beliefs about a partner's infidelity, not related to bodily functions.
C: Persecutory delusions involve beliefs of being targeted or persecuted, not related to bodily functions.
In summary, the client's persistent belief about their uterus being removed despite evidence points to a somatic delusion, making it the correct choice over the other options.