ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B because maintaining regular bedtimes and rising times helps establish a consistent sleep schedule, which is crucial for managing insomnia. This intervention promotes the client's natural sleep-wake cycle and overall sleep quality. Encouraging the client to consider stopping smoking (Choice A) is important for overall health but may not directly address the immediate sleep issue. Taking frequent naps (Choice C) can disrupt the client's ability to fall asleep at night. Administering sleep medications (Choice D) should be a last resort and not the initial intervention.
Question 2 of 5
The nurse is assessing a client who has received a tentative diagnosis of delirium. The nurse is explaining to the family about the major cause of the client's condition. Which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C because delirium is characterized by a rapid onset of altered consciousness. Delirium is an acute condition that manifests quickly, unlike dementia which is more gradual. The sudden change in consciousness is a key factor in diagnosing delirium. Choice A is incorrect as talking normally is not a primary diagnostic criterion for delirium. Choice B is incorrect as gradual confusion over time is more indicative of dementia rather than delirium. Choice D is incorrect as exposure to an infectious agent is not a primary cause for delirium, although it could contribute in some cases.
Question 3 of 5
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because intergenerational transmission of violence refers to the cycle where individuals who grow up in violent households are more likely to perpetuate domestic violence in their own relationships. This response directly addresses the concept by highlighting the link between childhood exposure to violence and adult behavior. Choice A is incorrect as it oversimplifies the issue by attributing violence solely to neurochemical imbalances, ignoring the impact of environmental factors like upbringing. Choice C is incorrect as it suggests violence is solely genetic, which is not supported by research that shows the influence of learned behavior. Choice D is incorrect as it presents an inaccurate statement about domestic violence skipping generations, which is not a recognized pattern in the transmission of violence.
Question 4 of 5
A group of nurses who have recently been hired to work in the mental health division of a large federal prison system are undergoing orientation. A nurse is discussing medication administration for the clients. Which statement would the nurse most likely include in this presentation?
Correct Answer: A
Rationale: The correct answer is A because dissolving oral medications in water before handing them to the prisoner ensures that they are taking the medication as prescribed. This method helps in monitoring medication ingestion and compliance. Explanation: 1. Choice A directly addresses the issue of medication administration and compliance by ensuring that the medications are taken as intended. 2. Choice B is incorrect because patient safety is a priority, and administering medications may be necessary to prevent harm. 3. Choice C is incorrect because coercive methods like routine injections violate ethical principles and patient rights. 4. Choice D is incorrect as obtaining a court order may not always be feasible or necessary for routine medication administration in a prison setting.
Question 5 of 5
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Head Compression. Early decelerations are usually caused by fetal head compression during contractions. As the head is compressed, it stimulates the vagus nerve, leading to a temporary decrease in the fetal heart rate. This is a normal response to the pressure exerted during contractions and is not associated with fetal hypoxia (choice A), abruptio placentae (choice B), or post maturity (choice C). Fetal hypoxia would be indicated by late decelerations, abruptio placentae would show variable decelerations, and post maturity would have a non-reassuring fetal heart rate pattern.