ATI RN
Psychiatric Mental Health Nursing Questions Questions
Question 1 of 5
A patient is going to be discharged this afternoon from the mental health unit. The patient asks the nurse if a copy of his medical record could be sent to the psychologist he will be seeing on an outpatient basis. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: `You will need to sign written authorization for us before we can do this.' This response is appropriate because sending a patient's medical record to another healthcare provider requires the patient's written authorization to maintain confidentiality and comply with HIPAA regulations. The nurse is ensuring that the patient understands the importance of protecting their medical information. Choice A is incorrect because sending medical records through regular mail may not be secure and violates patient privacy. Choice C is incorrect as it disregards the legal requirement for written consent to share medical information. Choice D is irrelevant to the patient's request and does not address the need for proper authorization.
Question 2 of 5
In a postclinical conference, a group of students are engaged in a discussion with their instructor. The instructor repeatedly has the students analyze and evaluate the nursing interventions implemented throughout the clinical experience. The students are engaged in which of the following?
Correct Answer: B
Rationale: The correct answer is B: Critical thinking. In this scenario, the students are engaging in critical thinking by analyzing and evaluating nursing interventions. Critical thinking involves actively and skillfully conceptualizing, applying, analyzing, synthesizing, and evaluating information to guide decision-making. The instructor's focus on analyzing and evaluating interventions demonstrates a higher level of thinking beyond just carrying out tasks. Choice A (Therapeutic use of self) involves using one's personality, insights, perceptions, and judgments as part of the therapeutic process, which is not directly reflected in the scenario. Choice C (Interdisciplinary care) involves collaboration among different healthcare disciplines, which is not the primary focus of the scenario. Choice D (Planning care) involves developing a plan of care based on assessments and identified needs, which is a different aspect of the nursing process than analyzing and evaluating interventions.
Question 3 of 5
A psychiatric-mental health nurse is providing care to patients with a mental illness and is investigating factors related to the patient safety, delivery of care services, and cost effectiveness. The nurse is involved with which area of professional performance?
Correct Answer: B
Rationale: The correct answer is B: Quality of practice. A psychiatric-mental health nurse focusing on patient safety, care delivery, and cost effectiveness pertains to quality of practice. Quality of practice involves ensuring high standards of care, patient safety, and efficient resource utilization. Education (A) focuses on knowledge acquisition, not specifically related to patient safety and cost-effectiveness. Resource utilization (C) is more about managing resources efficiently, not specifically addressing patient safety and care delivery. Collaboration (D) involves teamwork and communication, but it does not directly address patient safety and cost-effectiveness as quality of practice does.
Question 4 of 5
A nursing student is to provide a class presentation about interpersonal and psychoanalytic theories. As part of this presentation, the student is planning to address the major way these two categories differ. Which of the following would the student include as key to interpersonal theories?
Correct Answer: A
Rationale: The correct answer is A: Human relationships. Interpersonal theories focus on the dynamics of relationships between individuals, emphasizing communication, empathy, and social interactions. This key aspect distinguishes interpersonal theories from psychoanalytic theories, which primarily focus on unconscious drives and instincts (choices B and C). While psychoanalytic theories may touch upon relationships, they are not the central focus. Choice D, potential for goodness, is not a key aspect of interpersonal theories and does not differentiate them from psychoanalytic theories. Therefore, the student should include human relationships as the major way interpersonal theories differ from psychoanalytic theories in their class presentation.
Question 5 of 5
A nursing instructor is integrating Piaget’s theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?
Correct Answer: C
Rationale: The correct answer is C: Formal operations. During adolescence, individuals develop the ability to think abstractly and engage in hypothetical reasoning, which aligns with Piaget's Formal Operations stage. This stage typically occurs around ages 11 to adulthood. Adolescents can analyze complex problems, think about future possibilities, and consider multiple perspectives. Now, let's review why the other choices are incorrect: A: Concrete operations - This stage, typically occurring around ages 7 to 11, involves logical thinking about concrete events and objects but not abstract thinking like that seen in adolescents. B: Preoperational - This stage, occurring around ages 2 to 7, involves symbolic thinking and egocentrism, which are not reflective of the cognitive abilities of adolescents. D: Sensorimotor - This stage, occurring from birth to around 2 years old, focuses on sensory experiences and motor actions, which are not relevant to the cognitive development of adolescents.