ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts. Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide. Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide. Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.
Question 2 of 5
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: B
Rationale: The correct answer is B (82) because a higher score indicates better functioning on the Global Assessment of Functioning (GAF) scale. A score of 82 indicates minimal symptoms with good functioning in all areas. Choice A (94) would suggest superior functioning, which does not align with minimal symptoms. Choices C (75) and D (63) indicate lower functioning and more significant symptoms, which are not consistent with the patient's presentation of minimal symptoms and good functioning. Therefore, B is the most appropriate choice based on the information provided.
Question 3 of 5
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 4 of 5
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 5 of 5
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
Correct Answer: B
Rationale: The correct answer is B: Ego integrity. Ego integrity is a developmental concept typically associated with late adulthood (65+ years) according to Erikson's psychosocial theory. In the age range of 25-50 years, individuals are more focused on addressing challenges related to identity, generativity, and intimacy. Identity refers to establishing a sense of self, generativity involves contributing to society and future generations, and intimacy pertains to forming close relationships. Ego integrity, on the other hand, involves reflecting on one's life and accepting the outcomes, which is not a primary focus for individuals in the 25-50 age group.