ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
After studying the concepts of personality development, the nursing student understands that Freud is to psychoanalytic theory as Peplau is to:
Correct Answer: C
Rationale: Step 1: Identify Peplau's contribution - Peplau is known for her Interpersonal Theory, which emphasizes the therapeutic nurse-patient relationship. Step 2: Compare with Freud - Just like Freud is associated with psychoanalytic theory, which focuses on the unconscious mind and childhood experiences, Peplau's Interpersonal Theory focuses on the interpersonal relationships in nursing. Step 3: Eliminate other choices - A (Psychosocial theory) is more closely associated with Erikson, B (Nursing theory) is too broad, and D (Object relations theory) is more aligned with Melanie Klein. Step 4: Conclusion - The correct answer is C (Interpersonal theory) because Peplau's work focuses on the interpersonal relationships within the nursing context, similar to how Freud focused on psychoanalytic theory.
Question 2 of 5
A citizen at a community health fair asks the nurse, 'What is the most prevalent mental disorder in the United States?' Select the nurse's correct response.
Correct Answer: D
Rationale: The correct answer is D: Alzheimer's disease. Alzheimer's disease is the most prevalent mental disorder in the United States, affecting millions of individuals. It is a neurodegenerative disorder characterized by memory loss and cognitive decline. Schizophrenia (A) is less common than Alzheimer's disease. Bipolar disorder (B) and Dissociative fugue (C) are also less prevalent compared to Alzheimer's disease. Alzheimer's disease is specifically known for its high prevalence and impact on the population.
Question 3 of 5
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts. Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide. Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide. Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.
Question 4 of 5
A patient fearfully runs from chair to chair crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to
Correct Answer: A
Rationale: The correct answer is A: provide for the patient's safety. This is the highest priority because the patient is exhibiting behaviors that indicate distress and potential harm to themselves or others. Ensuring the patient's safety is the immediate concern to prevent any accidents or dangerous situations. Choice B is incorrect because encouraging clarification of feelings is not the priority when the patient is in a state of distress and potential danger. Choice C is incorrect as respecting personal space is important but not the most critical in this urgent situation. Choice D is also incorrect as offering an outlet for energy is not the immediate need when the patient is displaying alarming behaviors.
Question 5 of 5
A patient's global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
Correct Answer: B
Rationale: The correct answer is B (82) because a higher score indicates better functioning on the Global Assessment of Functioning (GAF) scale. A score of 82 indicates minimal symptoms with good functioning in all areas. Choice A (94) would suggest superior functioning, which does not align with minimal symptoms. Choices C (75) and D (63) indicate lower functioning and more significant symptoms, which are not consistent with the patient's presentation of minimal symptoms and good functioning. Therefore, B is the most appropriate choice based on the information provided.