ATI RN
ATI Mental Health Final Questions
Question 1 of 5
An unconscious client with a self-inflicted gunshot wound to the head is admitted. Family members allude to the existence of a living will in which the client mandates no implementation of life support. What is the legal obligation of the health-care team?
Correct Answer: B
Rationale: The correct answer is B: Follow the directions given in the living will because of mandates by state law. In this scenario, the living will is a legal document that expresses the client's wishes regarding medical treatment in case they become incapacitated. State laws typically require healthcare providers to honor living wills. This legal obligation supersedes the family's wishes, ethical principles like nonmaleficence (do no harm) or beneficence (do good). Therefore, it is essential for the health-care team to follow the specific directives outlined in the living will to respect the client's autonomy and ensure their wishes are honored.
Question 2 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. The patient's inability to maintain eye contact, lowering of the chin, and looking at the floor are all nonverbal cues that convey important information about the patient's emotional state. Nonverbal communication plays a significant role in expressing feelings and emotions, and in this scenario, the patient's nonverbal cues indicate potential signs of distress or discomfort. The nurse's assessment of these nonverbal behaviors is crucial for understanding the patient's underlying emotions and providing appropriate support and care. Summary: B: A message filter - This choice is incorrect because the patient's nonverbal behaviors are not acting as a filter for the message but are a form of communication themselves. C: A cultural barrier - This choice is incorrect as the patient's nonverbal cues are more indicative of emotional distress rather than a cultural barrier. D: Social skills - This choice is incorrect because the patient's nonverbal behaviors are related to emotional expression rather than social
Question 3 of 5
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 4 of 5
An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?
Correct Answer: C
Rationale: The correct answer is C because cognitive theories specifically focus on linking internal thought processes with behavior. Cognitive theories explore how individuals perceive, interpret, and process information, influencing their behavior. Choice A is incorrect as it refers more to developmental theories. Choice B is incorrect as it relates to behavioral theories. Choice D is incorrect as it pertains to growth and development theories, not cognitive theories. Therefore, Choice C is the most accurate description of cognitive theories.
Question 5 of 5
A patient with depression asks the nurse about possible herbal supplements. Which of the following would the nurse identify as being commonly used?
Correct Answer: B
Rationale: The correct answer is B: St. John's wort. St. John's wort is commonly used for treating depression due to its potential antidepressant effects. It works by increasing the levels of serotonin in the brain. Valerian (A) is primarily used for insomnia and anxiety. Kava (C) is used for anxiety and stress, not depression. Melatonin (D) is used for sleep disorders, not depression. Therefore, St. John's wort is the most appropriate choice for a patient with depression.