ATI RN
Mental Health And Mental Illness Practice Questions Questions
Question 1 of 5
A person says, "I was the only survivor in a small plane crash. Three business associates die I got depressed and saw a counselor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and I'm better now." Which type of therapy was used?
Correct Answer: D
Rationale: The correct answer is D: Interpersonal psychotherapy. This therapy focuses on improving interpersonal relationships and communication skills to address emotional issues. In the scenario, the person sought help for feelings related to survivor's guilt, which falls under the scope of interpersonal psychotherapy. The counselor likely helped the person process emotions, improve coping strategies, and enhance social support. A: Systematic desensitization is used to treat phobias by gradually exposing the individual to the feared object or situation to reduce anxiety. B: Psychoanalysis involves exploring unconscious conflicts and childhood experiences over an extended period. C: Behavior modification focuses on changing specific behaviors through reinforcement and punishment techniques.
Question 2 of 5
A nurse assesses an individual who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder?
Correct Answer: A
Rationale: The correct answer is A because repeatedly checking the location of car keys is a common symptom of obsessive-compulsive disorder (OCD). This behavior reflects obsessive thoughts about losing the keys and compulsive actions to alleviate anxiety. Choice B indicates physical symptoms, not OCD. Choice C suggests social anxiety, not OCD. Choice D indicates symptoms of post-traumatic stress disorder, not OCD. Therefore, choice A is the best indicator of possible OCD due to the specific repetitive behavior related to obsessive thoughts.
Question 3 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 4 of 5
The nurse is determining the success of a patient's plan of care by evaluating outcome indicators. The nurse understands that these indicators are usually determined initially at which time?
Correct Answer: B
Rationale: The correct answer is B: During the assessment process. This is because outcome indicators are used to measure the effectiveness of the care plan and are typically established during the assessment phase to provide a baseline for comparison. By evaluating outcome indicators during the assessment process, the nurse can track progress, adjust interventions if needed, and ensure the patient's goals are being met. A: On the day of discharge - This is incorrect because outcome indicators are typically determined before discharge to assess the overall success of the care plan. C: At the initial interview - This is incorrect as outcome indicators are more closely related to the assessment process and ongoing evaluation. D: With goal-setting process - This is incorrect because while outcome indicators are used to measure goal achievement, they are typically determined during the assessment to establish a starting point.
Question 5 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.