ATI RN
Mental Health Exam 1 Practice Questions Questions
Question 1 of 5
A nursing instructor is preparing a presentation on the etiology of Alzheimer's disease. When discussing the role of neurotransmitters in the course of the disease, which of the following would the instructor most likely emphasize?
Correct Answer: B
Rationale: The correct answer is B: Acetylcholine. Alzheimer's disease is characterized by a decrease in acetylcholine levels in the brain, leading to cognitive decline. Acetylcholine plays a crucial role in memory and learning. Other neurotransmitters like serotonin, dopamine, and norepinephrine are not as directly linked to Alzheimer's pathology. Serotonin is more associated with mood regulation, dopamine with reward and movement, and norepinephrine with arousal and stress response. Therefore, the instructor would emphasize acetylcholine due to its specific involvement in the disease process.
Question 2 of 5
A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Methylergonovine. Methylergonovine is contraindicated in clients with preeclampsia due to its vasoconstrictive effects, which can further increase blood pressure and potentially worsen the condition. Misoprostol, Dinoprostone, and Oxytocin are appropriate medications for postpartum hemorrhage and do not have the same vasoconstrictive properties as Methylergonovine. Misoprostol helps reduce bleeding by causing uterine contractions, Dinoprostone is a prostaglandin used to induce labor or treat postpartum hemorrhage, and Oxytocin is a uterotonic agent that helps control bleeding after childbirth.
Question 3 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D because anosognosia is a symptom of schizophrenia where patients lack insight into their illness. This lack of awareness leads them to deny or minimize their symptoms and believe they are not actually ill, hence refusing medication. Option A is incorrect because it does not address the core issue of lack of awareness. Option B is incorrect as it introduces an unrelated idea of nurses controlling minds. Option C is also incorrect as it focuses on the fear of side effects rather than the denial of illness itself.
Question 4 of 5
Donald, a 49-year-old male, is admitted for inpatient alcohol detoxification. He is cachexic, has multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing diagnosis for Donald along with an expected outcome is:
Correct Answer: C
Rationale: The correct answer is C: Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs. Rationale: 1. Donald is cachexic, indicating severe malnutrition. 2. Multiple scabs suggest poor wound healing due to malnutrition. 3. Lower extremity edema can be a sign of protein deficiency. 4. The nursing diagnosis of Nutrition: Less than body requirements fits Donald's clinical presentation. 5. The expected outcome of Maintains nutrient intake for metabolic needs addresses the goal of improving Donald's nutritional status. Summary: A: Risk for injury/Remains free from injury - Not the best choice as Donald's primary issue is malnutrition, not injury risk. B: Ineffective denial/Accepts responsibility for behavior - Not relevant to the physical health issues presented by Donald. D: Risk for suicide/Expresses feelings, plans for the future - Donald's symptoms do not suggest a risk for suicide.
Question 5 of 5
The nurse tells group members that they will be working on expressing conflicts during the current group session. Which phase of group development is represented?
Correct Answer: C
Rationale: The correct answer is C: Working phase. During the working phase of group development, members engage in tasks and work towards achieving the group's goals. In this scenario, the nurse indicating that the group will be focusing on expressing conflicts aligns with the working phase, where members actively participate in discussions and address issues within the group dynamic. This phase is characterized by increased cohesion and collaboration among members. A: Planning (formation) phase - This phase involves the initial formation of the group and setting goals. It is focused on getting to know each other and establishing structure, not specifically addressing conflicts. B: Orientation phase - This phase involves introductions and setting norms. While conflicts may arise during this phase as members adjust, the primary focus is on establishing roles and expectations. D: Termination phase - This phase marks the end of the group, where members reflect on their experiences. It is not the phase for actively addressing conflicts within the group.