ATI RN
Psychiatric Nursing Practice Questions Questions
Question 1 of 9
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a specific disease or condition within a defined time period. In this scenario, the nursing student is reviewing the number of persons newly diagnosed with major depression in the past year, which aligns with the concept of incidence. This information helps in understanding the risk of developing major depression in a given population over a specific time frame. Now, let's analyze why the other choices are incorrect: A: Rate - This term is too broad and does not specifically address the number of new cases within a defined period. B: Prevalence - Prevalence refers to the total number of cases (both new and existing) of a disease within a specific population at a given time, not just new cases. C: Point prevalence - This term specifically refers to the proportion of a population that has a particular condition at a specific point in time, not the number of new cases within a specific period.
Question 2 of 9
After teaching a class about competency and how it is assessed, the nursing instructor determines the need for additional instruction when the class identifies which ability as being evaluated?
Correct Answer: A
Rationale: The correct answer is A: Communication of choices. Competency assessment in nursing evaluates the ability to effectively communicate choices to patients, colleagues, and healthcare team. Understanding of relevant information (B) is essential, appreciation for situation and consequences (C) demonstrates critical thinking, and discussion of what is right and wrong (D) reflects ethical reasoning, but communication is crucial for effective nursing practice. Therefore, the instructor should focus on providing additional instruction on communication of choices to ensure comprehensive competency assessment.
Question 3 of 9
The nurse is reviewing the medical record of a patient and notes the information below. Which of the following would be found on Axis III? Select all that apply.
Correct Answer: C
Rationale: Axis III in the DSM-5 refers to any relevant medical conditions or physical disorders that may be impacting the patient's mental health. In this case, Chronic obstructive pulmonary disorder (COPD) would be found on Axis III as it is a physical health condition. Cocaine dependence (A) and Bipolar I disorder (B) would be found on Axis I as they are mental health disorders. Cellulitis (D) is a skin infection and would also not be found on Axis III as it is not a chronic physical health condition.
Question 4 of 9
A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
Correct Answer: D
Rationale: The correct answer is D: `We can pray together if you’d like.` This response reflects the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's strong faith. By offering to pray together, the nurse shows support, empathy, and understanding of the patient's spiritual beliefs, which can provide comfort and solace during a challenging time. Option A is incorrect as it focuses on the nurse's church rather than the patient's faith. Option B is inappropriate as it imposes the nurse's beliefs on the patient. Option C is not the best choice as guided imagery may not align with the patient's specific spiritual needs.
Question 5 of 9
A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. Which of the following would the instructor identify as a major challenge associated with it?
Correct Answer: A
Rationale: The correct answer is A: Maintaining confidentiality. Electronic health records in psychiatric-mental health care present challenges in protecting sensitive patient information due to potential breaches in security. This is crucial in maintaining trust and privacy between patients and healthcare providers. Choice B (Establishing educational models) is not a major challenge related to technology and EHRs. Choice C (Decreasing fragmented care) is actually a potential benefit of technology by improving communication and coordination among healthcare providers. Choice D (Defining professional standards more clearly) is important but not a major challenge specifically associated with technology and EHRs in psychiatric-mental health care.
Question 6 of 9
A patient’s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
Correct Answer: A
Rationale: The correct answer is A: 94. A score of 94 indicates minimal symptoms with good functioning. The Global Assessment of Functioning (GAF) scale ranges from 1 to 100, with higher scores indicating better functioning. A score of 94 implies minimal to no symptoms and excellent functioning in all areas. Incorrect Choices: B: 82 - This score suggests mild symptoms or moderate difficulty in social, occupational, or school functioning. C: 75 - Indicates symptoms that are transient and expectable reactions to psychosocial stressors. D: 63 - Indicates moderate symptoms or moderate difficulty in social, occupational, or school functioning.
Question 7 of 9
After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?
Correct Answer: B
Rationale: The correct answer is B because Confucianism does not believe in assigning people to castes. Confucianism emphasizes meritocracy and the importance of personal virtue rather than birthright or social status. A: People are born good aligns with Confucianism's belief in the innate goodness of individuals. C: Authority figures are respected reflects Confucianism's emphasis on respecting and obeying elders and leaders. D: Self-responsibility leads to improvement is in line with Confucian teachings on self-cultivation and ethical conduct. Therefore, the belief that people are assigned to castes is not associated with Confucianism.
Question 8 of 9
Which patient would the nurse determine to be the most likely a candidate for involuntary commitment?
Correct Answer: B
Rationale: The correct answer is B because the client screaming in the street disturbing neighbors poses a risk to themselves and others, indicating imminent danger and need for involuntary commitment for safety. Choice A, refusing medication, alone does not warrant involuntary commitment. Choice C, refusal to participate in therapy, may not indicate immediate danger. Choice D, being homeless with a mental disorder, does not automatically necessitate involuntary commitment unless there is imminent risk to self or others.
Question 9 of 9
The nurse is integrating Peplau’s model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?
Correct Answer: C
Rationale: The correct answer is C: Self-care. Peplau's model emphasizes the therapeutic nurse-patient relationship, where the nurse helps the patient develop self-awareness, self-understanding, and self-care skills. By identifying self-care as a key component, the nurse promotes the patient's independence and empowerment in managing their mental illness. Incorrect choices: A: Suffering - While suffering may be a part of the patient's experience, it is not a key component in Peplau's model. B: Anxiety - Although anxiety may be present in a patient with mental illness, it is not a central focus of Peplau's model. D: Nonverbal behaviors - While nonverbal behaviors are important in communication, they are not a key component in Peplau's model, which focuses more on the therapeutic relationship and patient-centered care.