ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 9
A nursing instructor is preparing a class presentation for a group of nursing students about cognitive behavioral therapy. Which of the following would the instructor be least likely to include?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral therapy focuses on changing thoughts and behaviors, not necessarily on events as the underlying issue. The therapist would be least likely to include this as it does not align with the core principles of CBT. Choice B is correct as CBT acknowledges that beliefs can exist irrespective of their origin. Choice C is correct as CBT emphasizes the role of practice in changing beliefs. Choice D is correct as CBT involves challenging and replacing negative thoughts with more accurate ones.
Question 2 of 9
Holly is a 53-year-old female with terminal breast cancer. Holly's nurse in the hospital brings up the subject of hospice care. Holly becomes upset and states, 'I am not ready to give up and die.' You respond that hospice is:
Correct Answer: A
Rationale: The correct answer is A because hospice care focuses on enhancing the quality of life for patients with terminal illnesses and their families. It provides holistic support, including pain management, emotional and spiritual care, and practical assistance. By bringing up hospice care, the nurse is offering a compassionate approach that aims to ensure comfort and dignity for Holly during her end-of-life journey. Choice B is incorrect because hospice care does not necessarily mean the end of all treatments. It shifts the focus from curative treatments to palliative care, but it still provides medical support to manage symptoms and improve comfort. Choice C is incorrect as hospice care does not provide curative treatment. It focuses on comfort care and symptom management rather than trying to cure the terminal illness. Choice D is incorrect because hospice care is not about hastening death. It aims to provide support and comfort during the natural end-of-life process, not to aggressively end life.
Question 3 of 9
The nurse is reviewing the medical records of several patients diagnosed with major depression. The nurse identifies which patient as least likely to commit suicide?
Correct Answer: D
Rationale: The correct answer is D, the married man. Research shows that individuals who are married have a lower suicide risk compared to those who are single, divorced, or widowed. Marriage provides social support, stability, and a sense of belonging which can act as protective factors against suicide. Divorced individuals (choice A) and widowed individuals (choice B) may experience loneliness and grief which can increase their suicide risk. Single individuals (choice C) may lack the support system that marriage provides, making them more vulnerable to suicide. Therefore, the married man is least likely to commit suicide due to the protective factors associated with being in a marital relationship.
Question 4 of 9
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.
Question 5 of 9
A nurse has engaged in self-awareness and has come to understand his own personal beliefs and attitudes and has recognized some prejudicial ideas. Based on this understanding, which of the following would the nurse now be able to accomplish?
Correct Answer: C
Rationale: Rationale: C is correct because by recognizing prejudicial ideas, the nurse can work on changing learned behaviors through self-reflection and education. This process leads to personal growth and the ability to provide unbiased care. A is incorrect because self-awareness is necessary but not sufficient for a therapeutic relationship. B is incorrect as influencing patients with biases is unethical. D is incorrect as formulating values and morals is a continuous process not solely dependent on self-awareness.
Question 6 of 9
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Correct Answer: C
Rationale: The correct answer is C: Advocacy. The nurses have advocated for the care of persons diagnosed with mental illness by writing letters to their elected representatives in opposition to the legislation that reduces funding for mental health care. Advocacy involves actively supporting a cause or policy to influence decision-makers for the betterment of a specific group or issue. In this scenario, the nurses have demonstrated advocacy by speaking out on behalf of individuals with mental illness to protect their access to necessary care and support. Choices A, B, and D are incorrect because they do not accurately describe the nurses' actions in this context.
Question 7 of 9
A client with depression is prescribed fluoxetine. On a return visit to the clinic, the client tells the nurse that he also just started taking St. John's wort to feel better. The nurse assesses the client for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. This is because both fluoxetine and St. John's wort increase serotonin levels in the brain, leading to a risk of serotonin syndrome - a potentially life-threatening condition characterized by symptoms such as confusion, agitation, sweating, and muscle twitching. Water intoxication (A) is not typically associated with these medications. Increased depressive symptoms (B) may occur if the client stops taking fluoxetine abruptly, but not specifically due to the combination with St. John's wort. Hypertensive crisis (D) is not a common concern with these medications.
Question 8 of 9
A nursing instructor is preparing a class presentation for a group of nursing students about cognitive behavioral therapy. Which of the following would the instructor be least likely to include?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral therapy focuses on changing thoughts and behaviors, not necessarily on events as the underlying issue. The therapist would be least likely to include this as it does not align with the core principles of CBT. Choice B is correct as CBT acknowledges that beliefs can exist irrespective of their origin. Choice C is correct as CBT emphasizes the role of practice in changing beliefs. Choice D is correct as CBT involves challenging and replacing negative thoughts with more accurate ones.
Question 9 of 9
A client asks the evening shift nurse,"How do you feel about my refusing to attend group therapy this morning?" The nurse responds,"How did your refusing to attend group make you feel?" This nurse is using which communication technique?
Correct Answer: C
Rationale: The correct answer is C: Therapeutic use of "reflection." This communication technique involves mirroring the client's feelings or thoughts back to them, allowing them to explore their own emotions. In this scenario, the nurse is reflecting the client's feelings back to them by asking how their refusal to attend group therapy made them feel. This encourages self-exploration and insight. A: Therapeutic use of "restatement" involves repeating the client's words to show understanding, which is not demonstrated in the scenario. B: Nontherapeutic use of "probing" involves asking direct questions that may feel intrusive, which is not the case here. D: Nontherapeutic use of "interpreting" involves offering interpretations or judgments, which is not demonstrated in the scenario.