ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
Correct Answer: D
Rationale: The correct answer is D: DSM-5. The DSM-5 is the Diagnostic and Statistical Manual of Mental Disorders, which is the standard classification of mental disorders used by mental health professionals. It provides criteria for diagnosing specific psychiatric disorders based on symptoms, behaviors, and other clinical features. By using the DSM-5, the nursing student can accurately identify which symptoms are present in a specific psychiatric disorder. A: Nursing Interventions Classification (NIC) and B: Nursing Outcomes Classification (NOC) are not specifically designed to identify symptoms of psychiatric disorders. NIC focuses on nursing interventions, while NOC focuses on nursing outcomes. C: NANDA-I nursing diagnoses provide a framework for identifying nursing problems and developing care plans but do not provide specific information on symptoms of psychiatric disorders. In summary, the DSM-5 is the most appropriate resource for identifying symptoms of psychiatric disorders, while the other choices are not specifically designed for this purpose.
Question 2 of 5
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?
Correct Answer: A
Rationale: Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha). Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering. Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace. Step 4: Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.
Question 3 of 5
The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Inadequacy. The patient's drawing lacking arms and feet suggests feelings of inadequacy, as these missing body parts symbolize a lack of capability and completeness. The absence of arms and feet can be interpreted as the patient feeling incapable or incomplete in some aspect of their life. This interpretation aligns with the concept of inadequacy, where the individual may perceive themselves as not measuring up to standards or feeling insufficient. In contrast, choices A, B, and C do not directly relate to the specific symbolism of the missing body parts and are not supported by the information provided in the question.
Question 4 of 5
Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to:
Correct Answer: B
Rationale: The correct answer is B: Pubescent individuals. Hebephilia is a paraphilic disorder characterized by a primary or exclusive sexual interest in individuals who are in the early stages of puberty, typically around the ages of 11 to 14. This is different from pedophilic disorder, which involves a sexual preference for prepubescent children. Choice A (Infants) is incorrect as infants are prepubescent. Choice C (Teens between the ages of 15 and 19) is incorrect as these individuals are typically considered adolescents rather than pubescent. Choice D (Males only) is incorrect as hebephilia can occur in individuals of any gender.
Question 5 of 5
A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for 5 minutes and later with the elevator door closed for 5 minutes. Which technique has the therapist used?
Correct Answer: B
Rationale: The correct answer is B: Systematic desensitization. This technique involves exposing the patient gradually to the feared stimulus (elevator) in a controlled manner to reduce fear response. By starting with riding an escalator and then gradually progressing to standing in an elevator with the door open and closed, the therapist is helping the patient build up tolerance and reduce fear through systematic exposure. A: Classic psychoanalytic therapy focuses on exploring unconscious conflicts and childhood experiences, not directly addressing phobias through systematic exposure. C: Rational emotive therapy involves challenging irrational beliefs and is not focused on exposure to feared stimuli. D: Biofeedback involves monitoring and controlling physiological responses, not directly addressing phobias through exposure.