ATI RN
Mental Health 6 Practice Questions Questions
Question 1 of 9
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.
Question 2 of 9
The mother of a child with Asperger disorder tells the nurse that her child has few playmates. She states, 'He has such poor social skills with other children, and he strongly rejects any change in his routine by throwing a tantrum.' Based on this information, the nurse identifies which nursing diagnosis as the priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for Social Isolation related to poor social skills of the child. The priority is to address the risk of social isolation because the child's poor social skills and rejection of changes in routine are indicators of potential isolation from peers. Social interaction is crucial for a child's development, and addressing this risk can help improve the child's social skills and overall well-being. Choice A is incorrect because self-care deficits are not the priority in this scenario. Choice B is incorrect as the child's behavior does not directly indicate a risk for injury. Choice C is incorrect because the focus should be on the child's social needs rather than solely on the family's coping mechanisms.
Question 3 of 9
A group of nursing students is reviewing information about the different types of group. The students demonstrate understanding of the information when they identify which of the following as a characteristic of a self-help group that differentiates it from a supportive therapy group?
Correct Answer: B
Rationale: The correct answer is B: The group is led by a consumer. In a self-help group, members lead the group as they have personal experience with the issue being discussed. This is crucial for creating a supportive environment where individuals can share their experiences and provide guidance based on their own journeys. Option A is incorrect because self-help groups are typically not led by professionals. Option C is incorrect because even though there may not be a formal leader, members often take on leadership roles. Option D is incorrect because while self-help groups do focus on specific problems, the key differentiating factor is that they are led by individuals who have lived through those problems.
Question 4 of 9
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar. The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client?
Correct Answer: B
Rationale: The correct answer is B because monitoring the client's vital signs is crucial in assessing for early signs of alcohol withdrawal, which is a life-threatening condition. This is a priority as the client has a history of experiencing alcohol withdrawal after previous admissions. Administering mood-stabilizing medications (A) may be necessary but not the immediate priority. Asking the client to refrain from being intrusive (C) is not addressing the underlying issue of alcohol withdrawal and bipolar disorder. Referring the client to a substance abuse treatment center (D) is important but not the priority when the client is exhibiting signs of potential alcohol withdrawal.
Question 5 of 9
What is the benefit of biological theory, related to perspectives on mental illness?
Correct Answer: D
Rationale: The correct answer is D because biological theory emphasizes that mental illnesses have biological origins, reducing the misconception that they are solely due to personal weakness or character flaws. This understanding decreases stigma by promoting the view that mental illnesses are medical conditions that can be treated. Choice A is incorrect as there is no universal cure for all psychiatric disorders. Choice B is incorrect as medication is not the only treatment option, and not all clients may need or benefit from medication. Choice C is incorrect as providers' compassion is not directly related to biological theory but rather to their individual attitudes and training.
Question 6 of 9
A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Suicide. In Asian American, Polynesian, and Pacific Islander cultures, there are high rates of suicide due to various factors such as stigma around mental health, cultural norms, and social pressures. Suicide prevention efforts are crucial in these communities. Incorrect choices: A: Schizophrenia - While schizophrenia can affect individuals in any cultural group, it is not specifically associated with higher rates in Asian Americans, Polynesians, and Pacific Islanders. B: Manic disorders - Manic disorders are not typically identified as being prevalent in these cultural groups. C: Dementia - Dementia is not culturally specific and does not have higher rates in Asian Americans, Polynesians, and Pacific Islanders compared to other groups.
Question 7 of 9
A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse's interpretation, the nurse would expect which behavior by the patient?
Correct Answer: B
Rationale: The correct answer is B because individuals with type A personalities are typically characterized by impatience, time urgency, and a desire for efficiency. Wanting the interview to be over as quickly as possible aligns with these traits. Choice A is incorrect as type A personalities are often characterized by being competitive and high-strung rather than relaxed. Choice C is incorrect as type A personalities tend to be impatient and may not be pleased with the pace of the interview. Choice D is incorrect as type A personalities are known for being quick to respond rather than speaking slowly.
Question 8 of 9
After teaching a group of students about the various concepts involving suicide, the instructor determines that the teaching was successful when the students describe parasuicide as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Nonfatal act with the intent to die. Parasuicide refers to self-harming behaviors that are not fatal but are carried out with the intention of causing harm or death to oneself. This differs from a voluntary act of killing oneself (Option A), as parasuicide does not result in death. It also differs from all suicide-related behaviors and thoughts (Option B), as parasuicide specifically involves nonfatal actions. Finally, it is distinct from a voluntary attempt without death as the aim (Option D), as parasuicide is characterized by the intent to die, even though death may not occur.
Question 9 of 9
A parent says, 'My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?' Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors. 2. Toilet training readiness varies among children, and it is not uncommon for some to resist training until later. 3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase. Summary: - Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy. - Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems. - Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.