ATI RN
ANCC Psychiatric Nurse Practitioner Practice Questions Questions
Question 1 of 9
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
Correct Answer: A
Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The primary purpose of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is to establish a standardized system for classifying mental disorders to aid clinicians in diagnosis and treatment. It provides a common language and criteria for mental health professionals to communicate effectively and ensure consistency in diagnosis. Choice B is incorrect because the DSM-IV-TR focuses on diagnostic criteria rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not primarily focus on identifying etiologies but rather on classification. Choice D is incorrect as the manual does not provide specific outcomes for treatment but rather aids in diagnosing mental disorders.
Question 2 of 9
A nurse is working on developing ways to meet the challenge of knowledge development. Which of the following would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because continuing education programs help nurses stay updated with the latest evidence-based practices and advancements in healthcare. This enables them to enhance their knowledge and skills, ultimately improving patient care outcomes. Choice B is incorrect as it focuses on access to care rather than knowledge development. Choice C is incorrect because fighting stigma, while important, does not directly relate to knowledge development. Choice D is incorrect as it pertains to providing care rather than developing knowledge. Therefore, the most appropriate way for the nurse to meet the challenge of knowledge development is through accessing new information via continuing education programs.
Question 3 of 9
A nurse had developed a plan of care for a patient with depression. Which nursing diagnosis would reflect the social domain?
Correct Answer: C
Rationale: The correct answer is C: Ineffective Role Performance related to inability to participate as family provider. This nursing diagnosis reflects the social domain because it focuses on the patient's inability to fulfill their role as a family provider due to depression, which impacts their social functioning. This diagnosis addresses the patient's social interactions, relationships, and roles within the family unit. Explanation: 1. Imbalanced Nutrition (A) is related to physical health and nutrition, not the social domain. 2. Powerlessness (B) is related to feelings of lack of control, not specifically tied to social interactions or roles. 3. Risk for Suicide (D) is related to the patient's safety and mental health, not directly addressing social functioning. In summary, choice C is the correct answer as it specifically addresses the patient's social domain by focusing on their role within the family unit, while the other choices are more related to physical health, mental health, and personal feelings.
Question 4 of 9
After teaching a class of nursing students about the rights of persons receiving mental health services, the instructor determines a need for additional instruction when the students identify which of the following as a right?
Correct Answer: D
Rationale: The correct answer is D because the right to refuse treatment during an emergency situation is not an absolute right for persons receiving mental health services. In emergency situations where a person's life or safety is at risk, healthcare providers may need to provide treatment even if the individual refuses. This is done to ensure the person's immediate safety and well-being. It is essential for healthcare providers to act in the best interest of the individual in emergency situations. A: Freedom from restraints or seclusion is a right as it promotes dignity and autonomy. B: Access to one's own mental health records on request is a right that promotes transparency and informed decision-making. C: An individualized written treatment plan is a right to ensure personalized and effective care.
Question 5 of 9
A nursing instructor is preparing a class discussion on the topic of self-determinism. Which of the following would the instructor expect to include? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Personal autonomy as a key value. Personal autonomy is a fundamental aspect of self-determinism, giving individuals the freedom to make their own choices. This aligns with the concept of self-determinism, where individuals have the right to act in accordance with their own values and goals. Choices based on pleasing others (B) contradict self-determinism as they prioritize external influences over personal autonomy. Activities reflecting personal goals (C) are more in line with self-determinism, but they do not encompass the broader concept of personal autonomy. The right to refuse treatment (D) is an important aspect of autonomy but is specific to healthcare decisions, not the comprehensive concept of self-determinism.
Question 6 of 9
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
Correct Answer: A
Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The primary purpose of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is to establish a standardized system for classifying mental disorders to aid clinicians in diagnosis and treatment. It provides a common language and criteria for mental health professionals to communicate effectively and ensure consistency in diagnosis. Choice B is incorrect because the DSM-IV-TR focuses on diagnostic criteria rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not primarily focus on identifying etiologies but rather on classification. Choice D is incorrect as the manual does not provide specific outcomes for treatment but rather aids in diagnosing mental disorders.
Question 7 of 9
A group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Gilligan. Carol Gilligan is known for her work on female development, particularly in contrast to the male-focused theories of development by theorists like Kohlberg. Gilligan emphasized the importance of relationships, care, and compassion in moral development, which are often more central to female experiences. Maslow's hierarchy of needs (A) is a general theory of motivation, not specific to female development. Bandura (C) is known for social learning theory, which applies to all genders. Miller (D) is not a theorist associated with female development. In this context, Gilligan stands out as the theorist most directly addressing female development.
Question 8 of 9
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
Correct Answer: D
Rationale: Step 1: Developing cultural competence involves understanding and respecting the cultural beliefs of individuals. Step 2: Choice D aligns with this by emphasizing appreciation and genuine interest in the individual's cultural beliefs. Step 3: By demonstrating appreciation and interest, the nurse can build trust and rapport with the patient. Step 4: This approach promotes culturally sensitive care and patient-centered practice. Step 5: Choices A, B, and C are incorrect as they do not prioritize understanding individual cultural beliefs and may lead to stereotyping, ethnocentrism, or lack of respect for diversity. Summary: Choice D is the most appropriate as it promotes respect for individual cultural beliefs and fosters effective communication and relationship building. Choices A, B, and C lack the key components necessary for developing cultural competence.
Question 9 of 9
A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
Correct Answer: D
Rationale: The correct answer is D: Person with schizophrenia. This terminology is person-first language, emphasizing the individual over the condition. It is respectful, person-centered, and reduces stigma. Using terms like "schizophrenic" (B), "schizophrenic patient" (C), or "committed patient" (A) can be dehumanizing, label-focused, and perpetuate negative stereotypes. It is important to always prioritize personhood and dignity when referring to individuals with mental health conditions.