ATI RN
Mental Health 6 Practice Questions Questions
Question 1 of 5
An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?
Correct Answer: A
Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.
Question 2 of 5
When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in
Correct Answer: C
Rationale: The correct answer is C: milieu management. Milieu management involves creating a therapeutic environment that promotes the patient's well-being. In this scenario, the nurse is establishing the rules and daily schedule of the unit to help the patient feel safe and understand what to expect during their hospitalization. This process aims to create a supportive and structured environment for the patient. Explanation of why the other choices are incorrect: A: Counseling typically involves providing emotional support, guidance, and advice to help the patient cope with their situation. The nurse in this scenario is not primarily providing counseling. B: Health teaching involves educating the patient about their health condition, treatment, and self-care practices. While some health teaching may occur during the tour, the primary focus is on establishing the unit rules and schedule. D: Psychobiological intervention refers to interventions that address the interaction between psychological and biological factors. The nurse's actions in this scenario are more focused on environmental factors and establishing a therapeutic milieu rather than psychobiological interventions.
Question 3 of 5
A student says, "Before taking a test, I feel very alert and a little restless." The nurse can correctly assess the student's experience as
Correct Answer: D
Rationale: The correct answer is D: mild anxiety. Feeling alert and restless before a test indicates a state of arousal that is common in mild anxiety. This level of anxiety is normal and can even enhance performance. It is not culturally influenced (A), as anxiety responses can occur universally. It is not displacement (B), which is a defense mechanism involving redirecting emotions. It is also not trait anxiety (C), which refers to a stable personality characteristic of experiencing anxiety across various situations. In this case, the student's experience is temporary and specific to the test-taking situation.
Question 4 of 5
A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Suicide. In Asian American, Polynesian, and Pacific Islander cultures, there are high rates of suicide due to various factors such as stigma around mental health, cultural norms, and social pressures. Suicide prevention efforts are crucial in these communities. Incorrect choices: A: Schizophrenia - While schizophrenia can affect individuals in any cultural group, it is not specifically associated with higher rates in Asian Americans, Polynesians, and Pacific Islanders. B: Manic disorders - Manic disorders are not typically identified as being prevalent in these cultural groups. C: Dementia - Dementia is not culturally specific and does not have higher rates in Asian Americans, Polynesians, and Pacific Islanders compared to other groups.
Question 5 of 5
Which of the following questions would be most helpful in beginning an initial assessment interview for a patient who has just been admitted to a psychiatric inpatient unit?
Correct Answer: B
Rationale: Step 1: Asking "What brings you into the hospital today?" is most helpful as it allows the patient to express their immediate concerns and reasons for admission. Step 2: This question helps establish rapport, gather important information, and set the tone for the assessment. Step 3: Understanding the patient's presenting issues is crucial for providing appropriate care and intervention. Step 4: The other options are not as relevant for the initial assessment as they focus on past psychiatric history, suicidal ideation, or unrelated personal relationships. Summary: Option B is the correct choice as it focuses on the current situation, which is crucial for the initial assessment, while the other options are less relevant for gathering immediate, pertinent information.