ATI RN
Mental Health Exam 1 Practice Questions Questions
Question 1 of 5
A family has a long history of conflicted relationships among the members. Which family member's comment best reflects a mentally healthy perspective?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a mentally healthy perspective by showing willingness to take responsibility for one's actions and make positive changes for the benefit of the family. This reflects self-awareness, accountability, and a proactive approach to improving relationships. Choice A acknowledges personal mistakes but lacks commitment to change. Choice B reminisces about the past without addressing present conflicts. Choice D shows avoidance and resignation, lacking effort to address underlying issues. Therefore, choice C is the best option for promoting mental health and resolving family conflicts.
Question 2 of 5
A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were applied to increase the patient's self-esteem but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?
Correct Answer: D
Rationale: The correct answer is D because cultural considerations are crucial in nursing care. Step 1: Assessing the patient's culture is essential to understanding behaviors like eye contact. Step 2: Filipino culture may view direct eye contact as disrespectful or submissive. Step 3: Lack of cultural awareness can hinder effective interventions. Step 4: Interventions should be culturally sensitive to be impactful. Summary: A: Focused on technique, not cultural relevance. B: Neglects the nurse's role in holistic care. C: Assumes negative emotions without evidence.
Question 3 of 5
A group of students are reviewing the goals identified by the New Freedom Commission on Mental Health. The students demonstrate understanding of this report when they identify which of the following as a goal?
Correct Answer: B
Rationale: Step-by-step rationale: 1. The New Freedom Commission emphasizes consumer and family empowerment in mental health care. 2. Involving consumers and families as driving forces ensures individualized and effective care. 3. This approach aligns with person-centered care principles. 4. Empowering consumers and families promotes collaboration and shared decision-making. 5. This goal enhances mental health outcomes and promotes recovery. Summary: Choice B is correct because it reflects the emphasis on consumer and family involvement in mental health care by the New Freedom Commission. Choices A, C, and D are incorrect as they do not align with the key focus of consumer and family empowerment in the Commission's goals.
Question 4 of 5
A patient is being discharged from the psychiatric unit this afternoon, and the nurse needs to teach the patient about discharge medications. The patient is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau's views regarding anxiety, the nurse would expect to implement the teaching plan at which time?
Correct Answer: B
Rationale: The correct answer is B: When his anxiety decreases to a mild level. According to Peplau, anxiety can be a driving force for learning and growth. When anxiety is at a moderate level, it indicates a level of readiness for learning. Implementing the teaching plan when the patient's anxiety decreases to a mild level ensures that the patient is still motivated to learn and engage in the teaching process. Waiting until the anxiety stabilizes (option A) may lead to missed opportunities for effective teaching. Expecting the patient to be completely free of anxiety (option C) is unrealistic and may delay the teaching process. Waiting until the patient's anxiety escalates to the panic level (option D) would not be conducive to effective learning as it may impair the patient's ability to process and retain information.
Question 5 of 5
A nurse is assessing a patient with a psychiatric illness. The nurse interprets which patient statement as reflecting the concept of cognitive triad?
Correct Answer: A
Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad. Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view. Choice C is incorrect as it describes the bosses and not the patient's own thoughts. Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.