ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 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 2 of 5
A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for 5 minutes and later with the elevator door closed for 5 minutes. Which technique has the therapist used?
Correct Answer: B
Rationale: The correct answer is B: Systematic desensitization. This technique involves exposing the patient gradually to the feared stimulus (elevator) in a controlled manner to reduce fear response. By starting with riding an escalator and then gradually progressing to standing in an elevator with the door open and closed, the therapist is helping the patient build up tolerance and reduce fear through systematic exposure. A: Classic psychoanalytic therapy focuses on exploring unconscious conflicts and childhood experiences, not directly addressing phobias through systematic exposure. C: Rational emotive therapy involves challenging irrational beliefs and is not focused on exposure to feared stimuli. D: Biofeedback involves monitoring and controlling physiological responses, not directly addressing phobias through exposure.
Question 3 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 4 of 5
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
Correct Answer: D
Rationale: The correct answer is D: DSM-5. The DSM-5 is the Diagnostic and Statistical Manual of Mental Disorders, which is the standard classification of mental disorders used by mental health professionals. It provides criteria for diagnosing specific psychiatric disorders based on symptoms, behaviors, and other clinical features. By using the DSM-5, the nursing student can accurately identify which symptoms are present in a specific psychiatric disorder. A: Nursing Interventions Classification (NIC) and B: Nursing Outcomes Classification (NOC) are not specifically designed to identify symptoms of psychiatric disorders. NIC focuses on nursing interventions, while NOC focuses on nursing outcomes. C: NANDA-I nursing diagnoses provide a framework for identifying nursing problems and developing care plans but do not provide specific information on symptoms of psychiatric disorders. In summary, the DSM-5 is the most appropriate resource for identifying symptoms of psychiatric disorders, while the other choices are not specifically designed for this purpose.
Question 5 of 5
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
Correct Answer: B
Rationale: Correct Answer: B (Oliguria) Rationale: 1. Oliguria (decreased urine output) is a classic sign of decreased cardiac output due to poor perfusion to the kidneys. 2. Decreased cardiac output results in reduced blood flow to the kidneys, leading to decreased urine production. 3. Shivering is a common postoperative response, not directly related to cardiac output. 4. Bradypnea (slow breathing) and constricted pupils are not typical signs of decreased cardiac output.