ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
An inpatient client, whom the treatment team has determined to be a danger to self, gives notice of intention to leave the hospital. What information should the nurse recognize as having an impact on the treatment teams next action?
Correct Answer: A
Rationale: State law determines how long a psychiatric facility can hold a client and under what conditions a client may be involuntarily committed for treatment. In this scenario, the inpatient client who is determined to be a danger to self is likely under an involuntary commitment status. If the client gives notice of intention to leave the hospital, the treatment team must abide by state laws regarding the duration of involuntary holds and the process for involuntary commitment. Understanding the legal framework and requirements set by state law is crucial for determining the treatment team's next actions in response to the client's desire to leave the hospital.
Question 2 of 5
An African American youth, growing up in an impoverished neighborhood, presents in the emergency department with bruises to his face, chest, and arms. He appears to be upset, is speaking in a dialect that is difficult for the nurse to understand, and is standing within 6 inches of the nurses personal space. What cultural consideration should a nurse identify as playing a role in this youths behavior?
Correct Answer: D
Rationale: The correct cultural consideration that the nurse should identify as playing a role in this youth's behavior is that some African Americans speak in a dialect that is different from standard English and tend toward smaller personal space than that of the dominant culture. It is important for healthcare providers to recognize and respect cultural differences, such as variations in language and personal space preferences, when interacting with patients from diverse backgrounds. In this case, the youth's use of a dialect the nurse finds difficult to understand and standing within close proximity may be reflective of his cultural norms and should not be misinterpreted as aggression or intimidation. Understanding and acknowledging cultural differences can help build trust and rapport between healthcare providers and patients, leading to more effective and culturally competent care.
Question 3 of 5
A Latino American man refuses to acknowledge responsibility for hitting his wife, stating instead, Its the mans job to keep his wife in line. Which cultural belief may be associated with this clients behavior?
Correct Answer: A
Rationale: The behavior described by the Latino American man of refusing to acknowledge responsibility for hitting his wife and stating that it's the man's job to keep his wife in line is reflective of a cultural belief associated with traditional Latino American families. In many Latino American cultures, there is a strong emphasis on male dominance within the family structure, with clear male-female role distinctions. This belief system can lead some individuals to justify violence or control over their partner as a way of asserting dominance or maintaining traditional gender roles within the family. It is important to recognize and address these cultural beliefs in order to provide effective intervention and support for individuals experiencing domestic violence within Latino American communities.
Question 4 of 5
In what way should a nurse expect a traditional Asian American client to view mental illness?
Correct Answer: A
Rationale: In traditional Asian cultures, mental illness may be viewed as bringing shame and dishonor to the family. Seeking outside help for mental health issues can be seen as weakness and may be stigmatized. This can lead to a reluctance to seek professional help and a preference for keeping mental health issues within the family. Additionally, there may be a belief that mental illness is due to personal weakness or lack of self-control, rather than a medical condition that can be treated. This cultural perception can influence how an Asian American client may approach mental health treatment and may impact their willingness to engage in therapy or accept mental health diagnoses.
Question 5 of 5
A nurse is preparing to establish a therapeutic relationship with a grieving family from China. Which nursing intervention would be considered most appropriate?
Correct Answer: D
Rationale: The most appropriate nursing intervention when establishing a therapeutic relationship with a grieving family from China would be to remain objective and empathetic, as Asians generally do not express feelings freely. In Chinese culture, it is common for individuals to be reserved when it comes to displaying their emotions, especially in front of strangers or in formal settings. Therefore, it is important for the nurse to be sensitive to this cultural trait and to offer support and empathy without expecting the family members to openly express their feelings. By remaining objective and empathetic, the nurse can create a safe and supportive environment that allows the family to express themselves in their own time and in their own way.