ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
According to psychoanalytic theory, treatment of symptoms should involve which nursing action?
Correct Answer: C
Rationale: According to psychoanalytic theory, treatment of symptoms involves gaining insight into the underlying unconscious conflicts that are leading to the symptoms. Recognizing and discussing the client's use of ego defense mechanisms is crucial in helping them understand how these defense mechanisms are protecting them from anxiety-provoking thoughts or feelings. By exploring and resolving these unconscious conflicts, the client can develop healthier coping strategies and reduce the need for symptoms to surface. Expressing empathy and presenting reality, encouraging the client to note cause and effects of actions, and modifying client behaviors through environmental manipulation may all be part of the therapeutic process, but recognizing and discussing ego defense mechanisms is central to the psychoanalytic approach to treatment.
Question 2 of 5
Which concepts are included in the definition of personality? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which types of adoption studies should a nurse recognize as providing useful information for the understanding of genetic versus environmental influences on personality development?
Correct Answer: A
Rationale: This type of adoption study allows researchers to isolate the impact of genetics (mental illness in biological parents) from the impact of environment (mentally healthy adoptive parents). By comparing the outcomes of these children with mentally ill biological parents raised by mentally healthy adoptive parents to the general population, researchers can determine the extent to which mental illness is influenced by genetics. This study design helps provide useful information for the psychiatric community in understanding the role of genetics in mental illness.
Question 4 of 5
A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the clients neurotransmitters should a nurse expect to be elevated?
Correct Answer: A
Rationale: In catatonic schizophrenia, a client may exhibit symptoms such as immobility, mutism, or repetitive movements, which are associated with an excess of dopamine activity in the brain. Dopamine is a neurotransmitter that plays a key role in regulating movement, emotions, and pleasure. In conditions like catatonic schizophrenia, the imbalance of dopamine neurotransmission may contribute to the characteristic symptoms observed in the client.
Question 5 of 5
A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the presentation of these solutions?
Correct Answer: D
Rationale: Acetylcholine is a neurotransmitter that plays a key role in memory, learning, and muscle contractions. Decreased levels of acetylcholine have been associated with cognitive impairments, including memory deficits. In the scenario provided, the client is experiencing memory deficits and decreased motor function, which could be correlated with decreased levels of acetylcholine in the brain. It is important for the nurse to consider this alteration in brain chemistry when assessing and planning care for the client.