A psychiatric mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?

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Mental Health ATI Test Bank Questions

Question 1 of 5

A psychiatric mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?

Correct Answer: D

Rationale: The correct answer is D: Suicide risk. When assessing young and middle-aged adults, identifying suicide risk is a critical priority to ensure their safety. Suicide risk assessment involves evaluating factors like past attempts, suicidal ideation, impulsivity, and access to means. Understanding and addressing suicide risk is crucial in psychiatric care to prevent harm. A: Coping skills - While important, assessing coping skills may not be as urgent as identifying suicide risk in this population. B: Cognition - Assessing cognition is valuable but may not be an immediate priority compared to addressing suicide risk. C: Self-esteem - Self-esteem assessment is relevant, but identifying suicide risk takes precedence due to the potential for immediate harm.

Question 2 of 5

Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:

Correct Answer: C

Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns. Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect. Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns. Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.

Question 3 of 5

A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?

Correct Answer: B

Rationale: The correct answer is B: 1 to 2 weeks. Sertraline is an antidepressant that can help with premature ejaculation. It typically takes 1 to 2 weeks for the medication to start showing effectiveness due to the need for the drug to reach a therapeutic level in the body. This time frame allows the client's body to adjust to the medication and for the serotonin levels to stabilize, resulting in improved control over ejaculation. Choices A (5 to 7 days), C (3 to 4 weeks), and D (6 to 8 weeks) are incorrect as they do not align with the typical onset of action for sertraline. A shorter time frame like 5 to 7 days is usually insufficient for the drug to reach therapeutic levels, while longer time frames like 3 to 4 weeks or 6 to 8 weeks exceed the typical onset of action for this medication.

Question 4 of 5

Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story. Choices A, B, and D are incorrect: A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings. B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion. D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.

Question 5 of 5

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer: B

Rationale: The correct answer is B because reporting consistently sad, discouraged, and hopeless mood is a key indicator of a mental illness, specifically depression. This finding suggests a persistent negative emotional state that goes beyond occasional sleeplessness and anxiety (choice A), the ability to describe differences in perceptions (choice C), or difficulty in making decisions related to job changes (choice D). The persistent nature of the mood described in choice B aligns more closely with symptoms of mental illness, indicating the need for further assessment and potential intervention.

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