ATI RN
Psychiatric Mental Health Nursing Questions Questions
Question 1 of 9
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 9
A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Suicide. Asian Americans, Polynesians, and Pacific Islanders have high rates of suicide compared to other cultural groups. This is due to various factors such as stigma surrounding mental health, cultural beliefs, and pressures to succeed. Suicide prevention efforts should be culturally sensitive. Incorrect choices: A: Schizophrenia - While mental health may vary among different cultural groups, schizophrenia is not particularly associated with higher rates among Asian Americans, Polynesians, and Pacific Islanders. B: Manic disorders - Manic disorders are not specifically linked to higher rates within these cultural groups. C: Dementia - Dementia is not typically associated with higher rates among Asian Americans, Polynesians, and Pacific Islanders in comparison to other mental health issues like suicide.
Question 3 of 9
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 4 of 9
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 5 of 9
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.
Question 6 of 9
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 7 of 9
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 8 of 9
A psychiatric-mental health patient has an advance care directive on his medical record. A clinician provides treatment that disregards the patient’s directive. The clinician would be liable for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Medical battery. Medical battery occurs when a healthcare provider performs a medical intervention without the patient's consent or against their wishes. In this scenario, the clinician disregarded the patient's advance care directive, which is a legal document specifying the patient's wishes for medical treatment in the event they are unable to communicate. By not following the directive, the clinician committed medical battery by performing treatment against the patient's wishes. Assault (A) involves the threat of harm, battery (B) involves physical contact without consent, and false imprisonment (D) involves restricting a person's freedom of movement without justification, none of which directly apply in this situation.
Question 9 of 9
A nurse is preparing a presentation for a local community group about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: `Cluster of behaviors, thoughts, and feelings characterize mental disorders.' This is the most appropriate statement because mental disorders are primarily diagnosed based on observable behaviors, thoughts, and feelings rather than underlying biological pathology (A), laboratory tests (B), or normal parameters (D). Mental disorders are complex and multifaceted conditions that manifest in various ways, making it essential to consider a range of symptoms and behaviors when diagnosing them. This statement emphasizes the importance of understanding the behavioral and psychological aspects of mental disorders, which is crucial for accurate assessment and treatment.