ATI RN
Psychiatric Nursing Questions Questions
Question 1 of 9
A psychiatric-mental health nurse is integrating Carl Rogers’ theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D: Develop unconditional positive regard for the client. Carl Rogers' person-centered theory emphasizes the importance of the therapist showing genuine empathy, acceptance, and unconditional positive regard towards the client. This creates a safe and non-judgmental environment for the client to explore their feelings and experiences. By developing unconditional positive regard, the therapist helps the client feel accepted and valued, which is crucial for promoting growth and self-actualization. Explanation for other choices: A: Providing validation of the terminology used during the session is important for effective communication but is not the central focus of Carl Rogers' theory. B: Focusing on the client's instinctual drives aligns more with Freud's psychodynamic theory rather than Carl Rogers' person-centered theory. C: Recognizing an understanding of the client's basic needs is important in holistic care but does not capture the essence of Carl Rogers' emphasis on unconditional positive regard.
Question 2 of 9
A group of nursing students are reviewing information about spirituality and religiousness. The group demonstrates understanding of these concepts when they identify religiousness as which of the following?
Correct Answer: D
Rationale: The correct answer is D. Religiousness involves community participation in common worship, which is a key aspect of religious practice. This choice reflects the organized and communal nature of religious activities. A: Feeling of connectedness is a general concept that may apply to spirituality but does not specifically define religiousness. B: Way of interpreting life events is more related to personal beliefs and worldview, rather than the communal aspects of religious practice. C: Relationship with a unifying force is more aligned with spirituality and may not necessarily involve organized community participation in worship. In summary, choice D is correct as it directly relates to the communal aspect of religious practice, while the other choices are more general and do not capture the essence of religiousness.
Question 3 of 9
A nurse is explaining advance care directives, or `living wills, to a patient and the patient’s spouse. Which of the following would the nurse include in the description?
Correct Answer: A
Rationale: The correct answer is A because a living will specifies the medical treatments a patient wishes to receive or refuse in the event they are unable to make decisions. This is important for ensuring the patient's preferences are followed. Choice B is incorrect because a living will does not require an attorney to be present during signing. Choice C is incorrect because it is not a requirement for the patient's physician to act as a witness for the document. Choice D is incorrect because while an attorney can assist in drafting the document, it is not a strict requirement for a living will. In summary, the key aspect of a living will is to outline the patient's preferences regarding treatment decisions in advance, ensuring their wishes are followed in case they cannot communicate them later.
Question 4 of 9
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or biases onto the patient. In this scenario, the nurse is responding to the patient as if he were her grandfather, indicating a personal emotional response that may impact the therapeutic relationship. This can hinder the nurse's ability to provide objective care. A: Empathy is the ability to understand and share the feelings of another, but in this case, the nurse is projecting her own feelings onto the patient, not truly empathizing with his emotions. B: Transference is when the patient projects their feelings onto the nurse, which is not happening in this scenario. D: Modeling refers to learning through observation and imitation, which is not applicable in this context.
Question 5 of 9
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
Correct Answer: A
Rationale: The correct answer is A: Public stigma. This is the most important aspect for the nurse to address because public stigma refers to the negative attitudes and beliefs held by the general population towards individuals with mental health issues. In a community of Asian descent where mental health stigma may be prevalent, addressing public stigma is crucial to ensure that individuals feel accepted and supported. Self-stigma (choice B) and label avoidance (choice C) are also important but addressing public stigma can have a broader impact on community acceptance. Negative life events (choice D) may contribute to mental health issues but addressing public stigma can help reduce the societal barriers individuals face in seeking help.
Question 6 of 9
A group of students is reviewing the functions of psychiatric nurses. The students demonstrate understanding of the information when they identify which of the following as an advanced practice level function?
Correct Answer: C
Rationale: The correct answer is C: Psychopharmacology interventions. Advanced practice psychiatric nurses have the authority and expertise to prescribe and manage medications for mental health conditions, including psychopharmacology interventions. This function requires specialized education, training, and certification beyond the basic level of practice. Milieu therapy (A) involves creating a therapeutic environment, which is a fundamental nursing function. Promotion of self-care (B) and health promotion activities (D) are important roles for all nurses but are not exclusive to advanced practice psychiatric nurses. Psychopharmacology interventions are a key component of advanced psychiatric nursing practice, making choice C the correct answer.
Question 7 of 9
A patient’s psychiatrist informs her that he thinks she needs to participate in a 3- month outpatient aftercare program after her discharge. Which of the following would protect the patient’s right to request a second opinion before agreeing to this suggestion?
Correct Answer: A
Rationale: Rationale: A: Self-determinism is the right to make one's own decisions about their treatment, including seeking a second opinion. B: Least restrictive environment refers to providing care in the least restrictive setting, not relevant in this case. C: Confidentiality is about protecting patient's information, not directly related to seeking a second opinion. D: Mandates to inform is about mandatory reporting, not related to seeking a second opinion. In this scenario, self-determinism is crucial because it empowers the patient to make informed decisions about their treatment plan, including seeking a second opinion. This right ensures that the patient's autonomy and preferences are respected, aligning with ethical principles of patient-centered care.
Question 8 of 9
Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR? Select all that apply.
Correct Answer: B
Rationale: Axis I in the DSM-IV-TR refers to clinical disorders. Posttraumatic stress disorder (PTSD) falls under this category as it is a mental health disorder characterized by experiencing a traumatic event. Other choices like paranoid personality disorder (Axis II), anorexia nervosa (Axis II), mental retardation (Axis II), unemployment, and coronary artery disease are not considered Axis I disorders as they do not fall under the classification of clinical disorders in the DSM-IV-TR. Therefore, the correct answer is B because PTSD is a clinical disorder that aligns with Axis I criteria.
Question 9 of 9
A group of students are preparing a class presentation about negligence. Which of the following would the group include as an element required for proving negligence? Select all that apply.
Correct Answer: A
Rationale: Step 1: Duty to provide care is a fundamental element in proving negligence as it establishes the legal obligation to act with reasonable care to prevent harm to others. Step 2: Proximate cause determines the direct link between the breach of duty and the resulting harm, but it is not a required element for proving negligence. Step 3: Resultant damages are the actual harm suffered due to the breach of duty, but they are the consequence of negligence rather than a required element. Step 4: Breach of duty is important, but it is not the specific element required for proving negligence. It is the failure to meet the duty of care established in element A.