ATI RN
Mental Health Final ATI Quizlet Questions
Question 1 of 5
A client believes that their partner is having an internet affair. They are spending most of their time stalking their partner on the internet, hacking into their email and social media accounts looking for evidence. What delusion are they experiencing?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) jealous. The client is experiencing a delusion of jealousy as they believe their partner is having an internet affair without substantial evidence to support this belief. This delusion is causing them to engage in obsessive behaviors like stalking and hacking into their partner's accounts. Option A) erotomaniac refers to a delusion where an individual believes someone is in love with them. This does not align with the client's belief of their partner having an affair. Option B) grandiose delusions involve inflated beliefs about one's power, identity, or importance. This does not match the client's situation of feeling jealous about their partner's alleged affair. Option C) persecutory delusions involve beliefs of being targeted, harassed, or conspired against. While there may be elements of paranoia in the client's behavior, the primary focus is on jealousy towards their partner's alleged actions. In an educational context, understanding different types of delusions is crucial in mental health assessment and intervention. Recognizing specific delusions helps in accurate diagnosis, treatment planning, and providing appropriate support to clients experiencing distorted beliefs. It also highlights the importance of addressing underlying emotions and cognitive distortions in individuals with delusional thinking patterns.
Question 2 of 5
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
Correct Answer: C
Rationale: The correct answer is C) Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The DSM-V is the standard classification of mental disorders used by mental health professionals in the United States. It provides criteria for diagnosing mental health disorders based on research, clinical expertise, and patient presentation. Consulting the DSM-V ensures that the nurse is using evidence-based criteria to establish a diagnosis for the unfamiliar psychiatric disorder. Option A) International Statistical Classification of Diseases and Related Health Problems (ICD-10) is primarily used for coding and billing purposes in healthcare and does not provide detailed diagnostic criteria for mental health disorders. Option B) The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the professional responsibilities and standards of psychiatric-mental health nurses but does not provide diagnostic criteria for specific psychiatric disorders. Option D) A behavioral health reference manual may contain general information about mental health disorders and treatment approaches but may not provide the comprehensive and standardized diagnostic criteria found in the DSM-V. In an educational context, understanding the importance of utilizing standardized diagnostic criteria like the DSM-V is crucial for accurate and evidence-based assessment and diagnosis in psychiatric nursing practice. Nurses need to be familiar with reputable resources like the DSM-V to ensure they are providing high-quality care to patients with mental health disorders.
Question 3 of 5
A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.
Correct Answer: A
Rationale: The correct answer is option A: "Thank you. I would enjoy having a cup of coffee with you." This response demonstrates the therapeutic use of self and helps build rapport with the patient and their family. It shows the nurse's willingness to engage in social interactions, which can enhance trust and communication. Option B is incorrect as it comes off as dismissive and may hinder the development of a therapeutic relationship. Option C is also incorrect as it creates a barrier to building rapport and may be perceived as rude. Option D is not the best response as it focuses more on agency policy rather than the opportunity to connect with the patient and family. In an educational context, it is essential for nurses to understand the importance of therapeutic communication in mental health care. Building rapport and trust with patients and their families is crucial for effective assessment and intervention. Nurses should be encouraged to engage in appropriate social interactions to establish a positive therapeutic relationship.
Question 4 of 5
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
Correct Answer: D
Rationale: The correct answer, "D) The time we spend together is to discuss your concerns," is appropriate because it reinforces the therapeutic boundaries of the nurse-patient relationship. It gently redirects the focus back to the patient's needs, which is crucial for maintaining a professional and therapeutic environment during the interview. This response shows empathy and respect for the patient's concerns while upholding the nurse's role as a healthcare provider. Option A, "Why do you keep asking about me?" is incorrect because it may come across as defensive and unprofessional. It shifts the focus back to the nurse and does not address the patient's underlying needs. Option B, "Nurses direct the interviews with patients," is incorrect as it sounds authoritarian and dismissive. It does not acknowledge the patient's attempt to connect or express curiosity. Option C, "Do not ask questions about my personal life," is also incorrect because it sets a strict boundary without addressing the patient's underlying reasons for asking personal questions. It can create a barrier to effective communication and trust-building in the therapeutic relationship. In an educational context, this question highlights the importance of therapeutic communication skills in mental health nursing. Nurses must navigate boundary issues sensitively while maintaining a patient-centered approach. By choosing the correct response, nurses can demonstrate empathy, establish rapport, and reinforce the therapeutic focus of the interaction.
Question 5 of 5
A psychiatric-mental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which of the following would the nurse emphasize as the primary goal of mental health services?
Correct Answer: C
Rationale: The correct answer is C) Recovery from mental illness. As a psychiatric-mental health nurse, the primary goal of mental health services is to promote recovery from mental illness. This emphasizes a holistic approach that focuses on empowering individuals to manage their conditions, improve their quality of life, and achieve their full potential. Option A) Access to affordable mental health care is important but is more of a facilitator to achieving the primary goal of recovery. Option B) Removal of exclusions because of preexisting conditions is significant in promoting equity and access to care but does not directly address the primary goal of recovery. Option D) Effective treatment for mental health care needs is a component of mental health services but does not encompass the comprehensive approach of recovery, which involves not just treatment but also rehabilitation, empowerment, and support. In an educational context, understanding the primary goal of mental health services is crucial for healthcare providers to deliver patient-centered care that supports individuals in their recovery journey. Emphasizing recovery shifts the focus from symptom management to promoting wellness and resilience, aligning with the recovery-oriented practice in mental health care.