ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
A client on an inpatient unit angrily states to a nurse, Peter is not cleaning up after himself in the community bathroom. You need to address this problem. Which is the appropriate nursing response?
Correct Answer: D
Rationale: The appropriate nursing response is "I can see that you are angry. Let's discuss ways to approach Peter with your concerns." This response acknowledges the client's emotions and validates their feelings, showing empathy and support. By offering to discuss ways to address the issue with Peter, the nurse is engaging in a collaborative problem-solving approach that empowers the client to take appropriate action. This response focuses on addressing the problem constructively and promoting effective communication and conflict resolution skills. It also fosters a therapeutic nurse-client relationship based on mutual respect and understanding.
Question 2 of 5
Which of the following are accurate descriptors of a therapeutic community? Select all that apply.
Correct Answer: B
Rationale: - B. Unit responsibilities are assigned according to client capabilities: In a therapeutic community, tasks and responsibilities are typically assigned based on the individual's capabilities and strengths to promote growth and self-confidence. This approach encourages accountability and fosters a sense of community within the therapeutic setting.
Question 3 of 5
After threatening to jump off a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
Correct Answer: A
Rationale: The nurse should first ask, "Are you currently thinking about harming yourself?" This question directly assesses the client's current suicidal ideation and immediate risk. It is crucial to determine the level of risk for self-harm before delving into reasons or consequences, as the client's safety is the top priority. By addressing the current thoughts of self-harm, the nurse can decide on appropriate interventions and ensure the client's safety.
Question 4 of 5
What is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst?
Correct Answer: C
Rationale: Holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst is important to help process feelings and concerns related to the witnessed intervention. This type of event can be traumatic and unsettling for both clients and staff involved. By allowing a safe space for individuals to express their emotions, concerns, and ask questions, the debriefing session can help address any anxiety, fear, or confusion that may have arisen from the incident. It can also help prevent any lingering negative effects on the individuals involved by validating their experiences and providing support and information as needed. This debriefing session serves as a form of psychological first aid and supports the overall emotional well-being of the clients and staff in the aftermath of a distressing event.
Question 5 of 5
How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)?
Correct Answer: C
Rationale: The key difference between a client diagnosed with social phobia and a client diagnosed with schizoid personality disorder (SPD) lies in their patterns of avoiding interactions. Clients with social phobia typically avoid interactions only in social settings where they fear judgment or negative evaluation. On the other hand, clients with SPD tend to avoid interactions in all areas of life, not just limited to social settings. This fundamental difference in the scope of avoidance behavior helps nurses differentiate between the two diagnoses.