ATI RN
Mental Health And Mental Illness Practice Questions Questions
Question 1 of 5
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 is the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's faith, offers emotional support, and fosters a connection between the nurse and the patient. It shows empathy and understanding of the patient's spiritual needs during a challenging time. Explanation for why the other choices are incorrect: A: Taking the patient to visit the nurse's church may not align with the patient's faith and may not be comfortable for the patient. B: Requiring the patient to belong to the same church as the nurse to go to heaven is imposing the nurse's beliefs on the patient, which is inappropriate. C: Offering guided imagery may be helpful for relaxation, but it does not directly address the patient's spiritual needs or provide the emotional support that praying together can offer.
Question 2 of 5
During a group session, one of the members states, 'Let's keep this discussion going so that everyone can participate, but let's keep the time each person speaks to about 3 minutes.' The leader interprets this member as acting in which role?
Correct Answer: B
Rationale: The correct answer is B: Gatekeeper. The member is facilitating the group by ensuring equal participation and time management. Gatekeepers help maintain communication flow and ensure everyone has a chance to speak. They focus on group dynamics and encourage participation without dominating the conversation. Group observer (A) mainly watches and records group interactions. Encouragers (C) provide support and positive feedback. Energizers (D) motivate and stimulate group energy but may not necessarily focus on time management.
Question 3 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.
Question 4 of 5
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.
Question 5 of 5
A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Stay with the client while remaining calm. Rationale: 1. Presence and calmness provide reassurance and support during a panic attack. 2. Staying with the client helps prevent further distress or harm. 3. The nurse can assess the client's condition and provide immediate assistance if needed. 4. It establishes trust and a therapeutic relationship. Summary: B: Moving the client to a safe environment is important, but staying with the client is the priority for immediate support. C: Telling the client the attack will soon pass may not be effective during the acute phase of panic. D: Teaching deep breathing techniques can be helpful, but it is not the first step in managing a client experiencing a panic attack.