ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to
Correct Answer: A
Rationale: The correct answer is A: provide for the patient's safety. This is the highest priority because the patient is exhibiting behaviors that indicate distress and potential harm to themselves or others. Ensuring the patient's safety is the immediate concern to prevent any accidents or dangerous situations. Choice B is incorrect because encouraging clarification of feelings is not the priority when the patient is in a state of distress and potential danger. Choice C is incorrect as respecting personal space is important but not the most critical in this urgent situation. Choice D is also incorrect as offering an outlet for energy is not the immediate need when the patient is displaying alarming behaviors.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is reviewing the medical records of several patients diagnosed with major depression. The nurse identifies which patient as least likely to commit suicide?
Correct Answer: D
Rationale: The correct answer is D, the married man. Research shows that individuals who are married have a lower suicide risk compared to those who are single, divorced, or widowed. Marriage provides social support, stability, and a sense of belonging which can act as protective factors against suicide. Divorced individuals (choice A) and widowed individuals (choice B) may experience loneliness and grief which can increase their suicide risk. Single individuals (choice C) may lack the support system that marriage provides, making them more vulnerable to suicide. Therefore, the married man is least likely to commit suicide due to the protective factors associated with being in a marital relationship.