ATI RN
Nursing Mental Health Practice Questions Questions
Question 1 of 5
A group of nursing students is reviewing information about cognitive processes and the development of mental disorders. The students demonstrate a need for additional review when they identify which of the following as being involved?
Correct Answer: D
Rationale: The correct answer is D: Compliments. The other choices (A: Cognitive triad, B: Cognitive distortions, C: Schema) are all related to cognitive processes and the development of mental disorders, but compliments are not. Cognitive triad refers to negative thoughts about self, world, and future; cognitive distortions are irrational thought patterns; and schema are ingrained beliefs that influence perception. Compliments, in contrast, are positive statements that boost self-esteem and are not typically associated with cognitive processes leading to mental disorders. Therefore, the nursing students need additional review on this topic.
Question 2 of 5
A nurse is with an adolescent who tells the nurse that she has nothing to live for and she just wishes she was dead. Which nursing action would be the priority?
Correct Answer: B
Rationale: The correct answer is B because staying with the patient to explore more of her thoughts about suicide is the priority. This allows the nurse to assess the severity of the situation, gather more information, provide immediate support, and establish rapport with the patient. It also helps in forming a safety plan and determining the level of risk. Choice A is incorrect because it does not address the immediate need for support and assessment. Choice C is incorrect as seclusion may escalate the situation and is not the best approach for someone expressing suicidal ideation. Choice D is incorrect as it is not the most immediate priority and does not directly address the patient's current emotional state.
Question 3 of 5
The plan of care for a client diagnosed with depression includes cognitive interventions. The nurse would expect to assist with which of the following?
Correct Answer: C
Rationale: The correct answer is C: Thought stopping. Cognitive interventions for depression aim to challenge and change negative thought patterns. Thought stopping is a technique used to interrupt and replace negative thoughts with more positive or neutral ones. This helps the client break the cycle of negative thinking associated with depression. A: Social skills training focuses on improving interpersonal interactions, not directly addressing cognitive distortions. B: Activity scheduling involves planning and engaging in activities to increase positive experiences, but it does not directly target cognitive distortions. D: Interpersonal therapy focuses on improving relationships and communication skills, rather than directly addressing cognitive distortions.
Question 4 of 5
A client is brought into the emergency department because he was involved in an automobile accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would expect to assess which of the following?
Correct Answer: A
Rationale: The correct answer is A: Difficulty with coordination. A BAL of 0.10 mg % indicates the client is legally intoxicated. Alcohol affects the cerebellum, impairing coordination and balance. Stupor (B) suggests a higher level of intoxication. Emotional lability (C) refers to rapid and exaggerated changes in mood, which is not directly related to BAL. Ataxia (D) is a lack of voluntary coordination of muscle movements, which is more severe than difficulty with coordination.
Question 5 of 5
A child and the child's family visit a psychiatric outpatient setting because the parent is concerned about the child's behavior at school. The child scores 65 on the Global Assessment of Functioning (GAF) scale. The nurse interprets this finding as which of the following?
Correct Answer: D
Rationale: The correct answer is D: The child can be treated effectively as an outpatient. A GAF score of 65 indicates mild symptoms and the child is able to function adequately in most areas. The child does not require inpatient therapy (choice A) as the symptoms are not severe. There is no indication of homicidal thoughts (choice B) based on the GAF score. While the child may be struggling in some areas, the score suggests that they are functioning relatively well overall and can benefit from outpatient treatment (choice D).