ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Question 1 of 5
When reviewing the history of mental health care in the United States, a psychiatric-mental health nurse reads about advocating for the moral treatment of the mentally ill and opening of state hospitals. The nurse would attribute this concept of care as the idea supported by:
Correct Answer: B
Rationale: The correct answer is B: Dorothea Dix. Dorothea Dix was a social reformer who advocated for the humane treatment of the mentally ill and the establishment of state hospitals in the United States during the 19th century. She played a crucial role in improving mental health care by pushing for the moral treatment of individuals with mental illness and the creation of specialized facilities to provide care and support. Sigmund Freud, known for his work in psychoanalysis, focused more on the unconscious mind and psychological theories. Hildegard Peplau was a nursing theorist who developed the interpersonal relations theory, which emphasizes the nurse-patient relationship. Linda Richards was a pioneer in psychiatric nursing but did not specifically advocate for state hospitals or moral treatment of the mentally ill.
Question 2 of 5
A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it provides the most accurate and therapeutic response. SSRIs typically take 2-3 weeks to start showing gradual improvement in symptoms. This information sets realistic expectations for the client and emphasizes the importance of continued medication adherence. Option A is incorrect as it provides an unrealistic timeline and places undue pressure on the client. Option B promotes a simplistic and unrealistic view of medication efficacy. Option D is incorrect as it provides false information about the immediate effectiveness of the medication.
Question 3 of 5
A nurse is completing an 8-hr 180 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: 782
Rationale: The correct answer is 782 mL.
To calculate total intake, convert all volumes to mL: 4 oz juice = 118 mL, 6 oz tea = 177 mL, 100 mL ice chips = 100 mL, 150 mL IV bolus = 150 mL, 8 oz broth = 237 mL. Add all values together (118 + 177 + 100 + 150 + 237) to get 782 mL. Other choices are incorrect because they do not accurately add up the total volume consumed.
Question 4 of 5
During a session with a client, the client asks the nurse what the client should do about the client's 'cheating' spouse. The nurse replies, 'You should divorce. You deserve better than that.' The nurse used which nontherapeutic communication technique?
Correct Answer: D
Rationale: The correct answer is D: Giving Advice. The nurse in this scenario crossed a boundary by directly advising the client to divorce without exploring underlying issues or facilitating the client's own decision-making process. Giving advice can be nontherapeutic as it imposes the nurse's values on the client, inhibiting the client's autonomy.
Incorrect choices:
A: Agreeing - The nurse did not agree with the client but rather provided unsolicited advice.
B: Giving Information - The nurse did not simply provide factual information but gave a directive.
C: Verbalizing the implied - The nurse did not reflect the client's unspoken feelings or thoughts but instead gave direct advice.
Question 5 of 5
A nurse is caring for a client with a diagnosis of depression. A decrease in which of the following neurotransmitters has been implicated in depression?
Correct Answer: C
Rationale: The correct answer is C: Norepinephrine and serotonin. Depression is associated with decreased levels of norepinephrine and serotonin. Norepinephrine plays a role in mood regulation, energy levels, and stress response. Serotonin is involved in regulating mood, appetite, and sleep. A decrease in these neurotransmitters can lead to symptoms of depression.
Choices A, B, and D are incorrect because GABA, acetylcholine, glutamate, and histamine are not primarily implicated in depression. This makes choice C the most appropriate answer based on the neurotransmitter systems commonly linked to depression.