ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 5
A client diagnosed with bipolar disorder has a nursing diagnosis of sleep pattern disturbance. Which intervention should the nurse implement initially?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Assessing normal sleep patterns is the initial step to understand the client's current sleep habits and identify specific disturbances in their sleep pattern. This assessment is crucial for developing an individualized care plan tailored to the client's needs. By gathering information on the client's sleep patterns, the nurse can effectively determine the underlying causes of the disturbance and implement appropriate interventions. This proactive approach ensures that interventions are evidence-based and address the client's unique situation. Summary of other choices: B: Discouraging napping during the day may be relevant but should come after assessing the client's sleep patterns to determine if daytime napping is contributing to the disturbance. C: Discouraging the use of caffeine and nicotine is important, but this intervention should be based on the assessment findings and individual client factors. D: Teaching relaxation exercises can be beneficial, but without understanding the client's specific sleep patterns and needs, it may not address the root cause of the sleep pattern disturbance.
Question 2 of 5
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient
Correct Answer: D
Rationale: The correct answer is D because the patient is experiencing command auditory hallucinations that pose an imminent threat to themselves or others. This is indicative of acute psychosis requiring immediate psychiatric intervention. Choice A is experiencing common emotional distress and can be managed on an outpatient basis. Choice B has self-inflicted minor harm but does not present an immediate danger. Choice C is likely experiencing side effects of medication and can be managed without urgent inpatient care. In summary, only choice D presents a clear and immediate risk that necessitates admission to the psychiatric unit.
Question 3 of 5
A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: The correct answer is A: "How do you feel about that?" This response is nonjudgmental as it focuses on exploring the patient's feelings rather than imposing the nurse's opinion. By asking about the patient's emotions, the nurse shows empathy and encourages self-reflection. Summary of why the other choices are incorrect: B: "I am glad that you realize this." - This response implies judgment by expressing personal feelings, which may make the patient feel criticized. C: "That's not a good way to behave." - This choice is judgmental and may lead to the patient feeling defensive or ashamed. D: "Have you outgrown that type of behavior?" - This response is presumptive and also implies judgment by suggesting that the behavior should have already been outgrown.
Question 4 of 5
A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. The patient is
Correct Answer: D
Rationale: The correct answer is D because the patient's behavior of being tense, vigilant, pacing, clenching fists, and staring can be indicative of potential aggression. This behavior shows signs of escalating agitation and aggression, which should be addressed promptly for safety. A: Withdrawal typically involves avoiding social interactions and showing disinterest, which does not align with the patient's behavior. B: Working through angry feelings would involve more introspective or expressive behaviors, not outward signs of potential aggression. C: Relaxation strategies would involve more calming and self-soothing behaviors, which are not exhibited by the patient in this scenario.
Question 5 of 5
The nurse is caring for a group of patients in a partial hospitalization program. The nurse would most likely be involved in which of the following activities?
Correct Answer: C
Rationale: The correct answer is C because in a partial hospitalization program, the nurse's role often includes teaching patients practical skills to support their daily living. Teaching patients how to plan a menu and shop for groceries is important for promoting healthy eating habits and overall wellness. This activity directly aligns with the goal of a partial hospitalization program, which is to help patients develop skills to function independently. Choice A is incorrect because facilitating a drug abuse prevention group is more likely to be part of a substance abuse program, not a partial hospitalization program. Choice B is incorrect because providing spiritual assessment and interventions is typically the role of a spiritual care provider or counselor, not a nurse in a partial hospitalization program. Choice D is incorrect because providing an educational group about the nutritional content of canned foods is not directly related to teaching patients practical skills for daily living, which is the focus of a partial hospitalization program.