ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
A male patient has recently been diagnosed with type II diabetes. His family is having trouble incorporating the dietary and exercise regimen prescribed by his physician into their daily routines. They tell the nurse that they are all tired when they return home from school and work and that the last thing any of them want to do is go on a walk. In addition, the patient's wife discloses that she is unable to prepare any sugar-free or low-sugar foods that her husband enjoys eating. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: D
Rationale: The correct answer is D: Ineffective Family Therapeutic Regimen Management. This nursing diagnosis is appropriate because it addresses the family's struggle in incorporating the prescribed dietary and exercise regimen for the patient's type II diabetes. The family's inability to adjust to the new routine and the wife's difficulty in preparing suitable meals indicate ineffective management of the therapeutic regimen. Choice A, Interrupted Family Processes, is incorrect because there is no evidence of a disruption in family dynamics. Choice B, Ineffective Denial, is incorrect as the family is not in denial but rather facing practical challenges. Choice C, Caregiver Role Strain, is not the most appropriate diagnosis as the main issue lies in the family's ability to manage the therapeutic regimen, not in the caregiver's emotional strain. In summary, the correct nursing diagnosis, D, directly addresses the family's challenges in following the prescribed regimen, making it the most appropriate choice in this scenario.
Question 2 of 5
A nurse is preparing an in-service program for a group of psychiatric mental health nurses about schizophrenia. Which of the following would the nurse include as a major reason for relapse?
Correct Answer: C
Rationale: The correct answer is C: Non-adherence to prescribed medications. Non-adherence to medications is a major reason for relapse in schizophrenia due to the importance of medication in managing symptoms and preventing relapses. Lack of family support (A) can impact recovery but may not directly lead to relapse. Accessibility to community resources (B) is important for support but not a major reason for relapse. Stigmatization of mental illness (D) can affect treatment seeking behavior but is not a direct cause of relapse.
Question 3 of 5
After teaching a class about the biochemical theories associated with panic disorder, the instructor determines a need for additional teaching when the students identify which neurotransmitter as being implicated?
Correct Answer: A
Rationale: The correct answer is A: Dopamine. In the context of panic disorder, serotonin and norepinephrine are typically implicated due to their roles in regulating mood and anxiety. GABA is involved in inhibiting neurotransmission, thus helping to reduce anxiety. Dopamine, however, is not directly associated with panic disorder and its dysregulation is more commonly linked to disorders like schizophrenia and Parkinson's disease. Therefore, if students identify dopamine as being implicated in panic disorder, it indicates a need for additional teaching to correct this misconception and emphasize the roles of serotonin, norepinephrine, and GABA instead.
Question 4 of 5
A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?
Correct Answer: B
Rationale: The correct answer is B: Munchausen's syndrome by proxy. This is a form of abuse where the caregiver fabricates or induces illness in someone under their care to gain attention or sympathy. In this scenario, the client's repeated attempts to harm the child for attention align with this syndrome. The other options do not fit the situation: A (Schizoid personality traits) doesn't involve intentional harm, C (Functional neurologic symptoms) is not related to fabricating illness in another, and D (Borderline personality disorder) doesn't typically involve this specific type of behavior.
Question 5 of 5
The nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
Correct Answer: B
Rationale: The correct answer is B: Bowel cleansing. This would most likely be implemented first because it helps to clear the colon of retained stool, which is essential in managing encopresis. By cleansing the bowel, it can help reset the child's bowel habits and reduce the likelihood of accidents. Administering mineral oil (choice A) may be used as a lubricant, but it does not address the underlying issue of fecal impaction. A low-fiber diet (choice C) is not recommended as it can exacerbate constipation. Toilet sitting after each meal (choice D) is important but may not be as effective if the colon is impacted with stool.