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
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 3 of 9
An instructor is preparing a class for a group of students about professional organizations and the leadership provided. Which of the following would the instructor include as an important function of the International Society of Psychiatric-Mental Health Nurses?
Correct Answer: A
Rationale: The correct answer is A because advocating for mental health nursing practice through liaison activities is a crucial function of the International Society of Psychiatric-Mental Health Nurses (ISPN). Firstly, this function helps in promoting the interests and rights of psychiatric-mental health nurses on a global scale. Secondly, it enables the ISPN to collaborate with other professional organizations and policymakers to influence mental health policies and regulations. Thirdly, by engaging in liaison activities, the ISPN can enhance the visibility and recognition of psychiatric-mental health nursing as a specialty. Therefore, this function aligns with the core mission of the ISPN to advance the field of psychiatric-mental health nursing. Summary: - Option B is incorrect because advancing psychiatric-mental health nursing practice is a broader goal that encompasses various activities beyond advocacy. - Option C is incorrect because while improving mental health care for culturally diverse individuals is important, it is not the primary function of the ISPN. - Option D is incorrect because providing a strong voice for
Question 4 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 5 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 6 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 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
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 9 of 9
The nurse is doing an assessment interview of a patient. During the interview, the patient comments, `Our people are connected with nature. Our world, our seasons, and our weatherthey all have many lessons to teach us. The nurse interprets the patient’s statement as an expression of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Spirituality. The patient's statement reflects a deep connection to nature and the belief that there are lessons to be learned from it, indicating a spiritual perspective. - Religiousness (A) typically involves adherence to specific beliefs or practices within a formal religion. - Tribal law (B) pertains to the legal systems and customs of specific tribal communities. - Ecological values (D) focus on the importance of preserving the environment. In this context, the patient's emphasis on nature teaching lessons aligns most closely with spirituality, as it suggests a personal and reflective connection to the natural world.