ATI RN
Mental Health 6 Practice Questions Questions
Question 1 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 2 of 9
An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?
Correct Answer: A
Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.
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
Which qualifications are appropriate to the scope of practice of the psychiatric/mental health registered nurse generalist?
Correct Answer: C
Rationale: Rationale: Choice C is correct because psychiatric/mental health registered nurse generalists are qualified to implement crisis intervention as part of their scope of practice. This is crucial in addressing acute mental health crises. Incorrect choices: A: Having a master's degree is not a specific qualification for psychiatric/mental health nursing practice. B: Nurse generalists cannot independently order medications based on tests; this is typically done by a physician or under their supervision. D: While nurses can contribute to assessing and documenting a client's condition, diagnosing medical conditions is typically done by physicians.
Question 5 of 9
A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: dyslexia. Dyslexia is a specific learning disability that affects reading and related language-based processing skills. In this case, the child's lack of interest in reading, frustration with schoolwork, and difficulty understanding the material points towards dyslexia. Dysphagia (choice A) is difficulty swallowing, not related to reading. Dyscalculia (choice B) is a learning disability related to math, not reading. Dysgraphia (choice C) is a learning disability related to writing, not reading. Therefore, based on the symptoms described, dyslexia is the most likely diagnosis.
Question 6 of 9
A student says, "Before taking a test, I feel very alert and a little restless." The nurse can correctly assess the student's experience as
Correct Answer: D
Rationale: The correct answer is D: mild anxiety. Feeling alert and restless before a test indicates a state of arousal that is common in mild anxiety. This level of anxiety is normal and can even enhance performance. It is not culturally influenced (A), as anxiety responses can occur universally. It is not displacement (B), which is a defense mechanism involving redirecting emotions. It is also not trait anxiety (C), which refers to a stable personality characteristic of experiencing anxiety across various situations. In this case, the student's experience is temporary and specific to the test-taking situation.
Question 7 of 9
Which of the following questions would be most helpful in beginning an initial assessment interview for a patient who has just been admitted to a psychiatric inpatient unit?
Correct Answer: B
Rationale: Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission. Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment. Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention. Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships. Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.
Question 8 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 9 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.