ATI RN
Mental Health Exam 1 Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A school nurse is teaching a class of adolescents about healthy behaviors. Which of the following activities include as a means for preventing anxiety and depression when they are middle-aged adults?
Correct Answer: C
Rationale: The correct answer is C: Engaging in physical activity and exercise. Regular physical activity has been shown to have numerous benefits for mental health, including reducing the risk of anxiety and depression. Exercise helps release endorphins, which are natural mood lifters. Additionally, staying physically active can improve self-esteem and cognitive function, both of which are important for overall mental well-being. Choices A, B, and D are incorrect because while they are important for overall health, they do not specifically target anxiety and depression prevention in middle-aged adults. Restricting sugar and fat intake, refraining from smoking or doing drugs, and becoming active in local church activities may have their own health benefits, but they are not as directly linked to preventing anxiety and depression as engaging in physical activity and exercise.
Question 5 of 5
A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals'responses, anticipating which of the following?
Correct Answer: A
Rationale: The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders. Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship. Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.