ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
A patient diagnosed with schizophrenia tells the nurse, "The Central Intelligence Agency is monitoring us through the fluorescent lights in this room. The CIA is everywhere, so be careful what you say." Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B because it validates the patient's feelings without directly challenging their delusion. By acknowledging the patient's concern about privacy, the nurse shows empathy and maintains a therapeutic relationship. Choice A avoids addressing the patient's underlying fear and may be dismissive. Choice C provides factual information but does not address the patient's emotional needs. Choice D uses confrontational language and may increase the patient's distress by labeling their belief as a symptom of illness. Overall, option B demonstrates empathy and builds rapport with the patient, which is crucial in providing effective care for individuals with schizophrenia.
Question 2 of 5
Family members describe the patient as 'a difficult person who finds fault with others.' The patient verbally abuses nurses for their poor care. The most likely explanation lies in
Correct Answer: C
Rationale: The correct answer is C: a personality style that externalizes problems. This is likely the most accurate explanation because the patient's behavior of finding fault with others and verbally abusing nurses suggests a tendency to blame external factors for their own problems, rather than taking responsibility. This is characteristic of a personality style that externalizes problems, where individuals attribute their issues to others or external circumstances. Poor childrearing (choice A) may contribute, but it doesn't directly address the behavior described. Automatic thinking and cognitive distortions (choice B) are related to cognitive processes, not personality styles. Delusions of harm (choice D) are not mentioned in the scenario.
Question 3 of 5
The nurse is assessing an Asian American patient. During the interview, the nurse determines that the patient likely follows Taoism based on which statement?
Correct Answer: B
Rationale: The correct answer is B because Taoism emphasizes harmony with nature and living in balance. This statement reflects Taoist principles of aligning oneself with the natural order and finding contentment in living in harmony with the world. Explanation: - A: While purity and balance are important concepts in Taoism, this statement does not directly relate to Taoist beliefs about harmony with nature. - C: Respecting nature's powers is a general concept that may align with various belief systems, but it does not specifically indicate Taoism. - D: This statement about worshipping God out of love is more characteristic of monotheistic religions like Christianity or Islam, not Taoism which does not focus on a personal God.
Question 4 of 5
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
Correct Answer: B
Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.
Question 5 of 5
A group of nursing students are reviewing information about counseling interventions. The students demonstrate a need for additional review when they identify counseling interventions as involving which of the following?
Correct Answer: C
Rationale: The correct answer is C: Goal of regaining functional abilities. Counseling interventions typically focus on emotional and psychological support rather than physical rehabilitation or regaining functional abilities. This choice is incorrect because counseling is not aimed at improving physical abilities but rather at addressing emotional and mental health issues. Choices A, B, and D are correct as they align with common counseling interventions, which are often specific, time-limited, focus on coping improvement, and aim to prevent disability by addressing mental health concerns.