ATI RN
Mental Health Theories and Therapies ATI Quizlet Questions
Question 1 of 9
A nurse is assessing a patient and the patient's social networks. When evaluating this area, the nurse integrates knowledge that which of the following is an important component?
Correct Answer: C
Rationale: Step 1: Reciprocity refers to mutual exchange and interdependence within social networks. Step 2: It ensures support is given and received, enhancing the patient's well-being. Step 3: Blood relationships (A) may not always guarantee support, and bonding (B) may lack reciprocity. Step 4: Emotional support (D) is crucial but doesn't encompass the full spectrum of social networks. Summary: Reciprocity is key as it ensures a two-way supportive relationship, unlike the other choices which may not guarantee the same level of support.
Question 2 of 9
A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?
Correct Answer: B
Rationale: The correct answer is B: "What did you experience just before and during the attack?" This question is appropriate because it helps gather information about the client's triggers and symptoms during the panic attack, aiding in identifying potential causes and providing appropriate interventions. By understanding the client's experience before and during the attack, the nurse can better assess the situation and provide personalized care. Incorrect Choices: A: "Are you feeling much better now that you are lying down?" - This question does not address the client's experience or provide insight into the panic attack triggers or symptoms. C: "Do you think you will be able to drive home?" - This question is not a priority at the initial assessment and does not focus on understanding the client's condition. D: "What do you think caused you to feel this way?" - While this question is relevant, it is not as specific as asking about the experience before and during the attack, which can provide more immediate information for intervention.
Question 3 of 9
For the client considering electroconvulsive therapy, what is the appropriate teaching?
Correct Answer: C
Rationale: The correct answer is C because ECT does use electrical stimulation to targeted areas of the brain, leading to seizure activity and therapeutic effects. Choice A is incorrect because ECT does require informed consent. Choice B is incorrect as ECT is actually used to treat severe cases of major depression. Choice D is incorrect as ECT does not use transcranial magnetic stimulation; it uses electrical currents.
Question 4 of 9
A nurse is talking to a parent about the steps taken to treat learning disorders. What does the nurse explain as the first priority?
Correct Answer: A
Rationale: The correct answer is A because conducting a full physical exam is essential to rule out vision, hearing, or medical causes contributing to the learning disorder. This step helps ensure that any underlying health issues are addressed first before moving on to other interventions. Referral to a speech-language pathologist (B) may be necessary later but does not address potential medical causes. Developing an individualized education program (C) is important but should come after addressing any physical health concerns. A 'wait-and-see' approach (D) is not recommended as early intervention is crucial for addressing learning disorders.
Question 5 of 9
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Echolalia. Echolalia is the repetition of words or phrases spoken by others, often seen in clients with mental health disorders. In this scenario, the client repeating others' words indicates a lack of original speech and a possible communication disturbance. Echopraxia (A) is the imitation of movements, not words. Neologisms (B) are made-up words lacking meaning. Tangentiality (C) is a thought disorder where the individual goes off on a tangent unrelated to the topic. Therefore, D is the most appropriate choice in this context.
Question 6 of 9
A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?
Correct Answer: B
Rationale: The correct answer is B: Cognitive behavioral therapy. This type of therapy is commonly used in conjunction with pharmacologic therapy for bulimia nervosa. Cognitive behavioral therapy helps the client identify and change unhealthy thoughts and behaviors related to eating and body image. It also teaches coping strategies and techniques to manage triggers. Behavioral therapy (A) focuses on changing specific behaviors, while cognitive behavioral therapy (B) combines changing behaviors with addressing thoughts and emotions. Interpersonal therapy (C) focuses on improving relationships and communication skills, which may be beneficial but is not the primary treatment for bulimia nervosa. Family therapy (D) involves the client's family in the treatment process, which can be helpful but is not as directly focused on individual behavior change as cognitive behavioral therapy.
Question 7 of 9
Which intervention will promote independence in a patient being treated for bulimia nervosa?
Correct Answer: C
Rationale: The correct answer is C because asking the patient to use a daily log to record feelings and circumstances related to urges to purge promotes self-awareness and insight into triggers. This intervention helps the patient develop coping strategies and identify patterns that contribute to the behavior. Choice A focuses on monitoring physical aspects, which may not address the underlying emotional issues. Choice B promotes weight gain, which is not the primary goal in treating bulimia nervosa. Choice D may not address the emotional and psychological aspects of the disorder. In summary, choice C is the most effective in promoting independence by empowering the patient to understand and manage their impulses.
Question 8 of 9
A nurse wants to find information on current evidence-based research, programs, and practices regarding mental illness and addictions. Which resource should the nurse consult?
Correct Answer: D
Rationale: The correct answer is D: Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA is a government agency that provides the most up-to-date evidence-based research, programs, and practices related to mental illness and addictions. They offer resources for healthcare professionals to access reliable information and guidelines for treatment and interventions. SAMHSA is specifically focused on mental health and substance abuse issues, making it the most appropriate choice for the nurse to consult. The other options, such as the American Psychiatric Association, American Psychological Association, and Clinician's Quick Guide to Interpersonal Psychotherapy, may have relevant information but do not specialize in mental illness and addictions like SAMHSA does.
Question 9 of 9
The nurse is caring for a 3½-year-old child with autism who has been hospitalized. The child rocks continuously without any danger present to the child's safety. Which intervention by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Ignore the child's rocking behavior. This is the most appropriate intervention because rocking without any danger does not require immediate intervention. It is a self-soothing behavior often seen in children with autism. By ignoring the behavior, the nurse avoids reinforcing it and allows the child to engage in self-regulation. Monitoring the behavior (choice A) is appropriate but does not actively address the behavior. Holding the child (choice B) may disrupt the child's coping mechanism. Placing the child in time out (choice D) is not appropriate as it may be perceived as punishment and increase distress.