Questions 9

ATI RN

ATI RN Test Bank

Psychiatric Nurse Practitioner Exam Questions Questions

Question 1 of 5

A nurse working on the psychiatric unit receives a telephone call from the employer of one of the patients on the unit. The employer asks to be sent a copy of Mr. Murray’s latest laboratory work and psychological testing results so Mr. Murray’s medical records in employee health can be kept up to date. Based on the nurse’s knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?

Correct Answer: B

Rationale: The correct answer is B: `I’ll have to get the patient’s signed consent before we can send that information to you. This response is appropriate as it upholds the patient's confidentiality rights as per HIPAA regulations. By obtaining the patient's signed consent, the nurse ensures that Mr. Murray's privacy is protected and that information is not disclosed without authorization. Choice A is incorrect because it is a direct violation of patient confidentiality without obtaining proper consent. Choice C is incorrect as it does not address the request and does not protect patient privacy. Choice D is incorrect as it also discloses patient information without consent, violating confidentiality laws.

Question 2 of 5

After teaching a group of students about mental health and mental illness, the instructor determines that the teaching was successful when the group identifies which of the following as reflecting mental disorders?

Correct Answer: C

Rationale: The correct answer is C because an alteration in mood or thinking is a key characteristic of mental disorders. Mental disorders often manifest through changes in mood (such as depression or mania) or thinking (such as delusions or impaired cognition). This reflects the presence of significant disturbances in mental functioning. A, B, and D are incorrect because: A: Capacity to interact with others is a broad concept that may not necessarily indicate the presence of a mental disorder. B: Ability to deal with ordinary stress is a measure of resilience rather than a specific indicator of a mental disorder. D: Lack of impaired functioning implies normal functioning, which does not capture the complexity and diversity of mental disorders.

Question 3 of 5

A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?

Correct Answer: C

Rationale: The correct answer is C (Axis III). Axis III in the DSM-IV-TR is used to list any medical conditions that may be relevant to the individual's psychological presentation. In this case, the woman's diabetes would be listed under Axis III because it is a medical condition that can impact her mental health. Axis I is for clinical disorders, Axis II is for personality disorders, and Axis IV is for psychosocial and environmental stressors. Therefore, the correct placement for diabetes in this scenario is on Axis III to highlight its significance in the overall assessment and treatment plan.

Question 4 of 5

A patient is being discharged from the psychiatric unit this afternoon, and the nurse needs to teach the patient about discharge medications. The patient is exhibiting signs of moderate anxiety about the upcoming discharge. Based on Peplau’s views regarding anxiety, the nurse would expect to implement the teaching plan at which time?

Correct Answer: A

Rationale: Rationale for Correct Answer A: Implementing the teaching plan when the patient's anxiety stabilizes at its current level aligns with Peplau's views on anxiety. At this point, the patient is more receptive to learning and can process information effectively without overwhelming anxiety hindering the learning process. This approach enables the patient to engage in the teaching plan with a manageable level of anxiety, promoting a more successful learning experience. Summary of Incorrect Choices: B: Implementing the teaching plan when the patient's anxiety decreases to a mild level may not be the most effective timing. The patient may still have some residual anxiety that could impact their ability to fully engage in the learning process. C: Waiting until the patient is completely free of anxiety may not be realistic or necessary. A certain level of anxiety is normal, and the goal is to teach the patient to manage anxiety effectively rather than eliminate it entirely. D: Waiting until the patient's anxiety escalates to the panic level is not ideal as it can lead

Question 5 of 5

A nurse is explaining the distinction between confidentiality and privacy. Which of the following would the nurse include as reflecting privacy?

Correct Answer: A

Rationale: Step 1: Privacy refers to the right to keep personal matters and information private. Step 2: Choice A is correct as it reflects the idea that privacy is about personal life not governed by laws. Step 3: Choice B is incorrect as it refers to confidentiality, not privacy. Step 4: Choice C is incorrect as privacy can involve an individual and not necessarily require the involvement of another. Step 5: Choice D is incorrect as knowledge of treatment costs and benefits is more related to informed consent than privacy.

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