ATI RN
Mental Health Final ATI Questions
Question 1 of 5
As part of a career day presentation to a group of nursing students, a psychiatric-mental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses?
Correct Answer: B
Rationale: The correct answer is B: Hildegarde Peplau. She is considered the mother of psychiatric nursing and played a major role in developing specialty training programs for psychiatric nurses. Peplau's interpersonal theory of nursing emphasized the importance of the nurse-patient relationship in mental health care, leading to the integration of psychological principles into nursing practice. Nutting (A) was a nursing education pioneer, Bailey (C) was known for her work in public health nursing, and Richards (D) was the first trained nurse in the US, but they did not have the same impact on psychiatric nursing training as Peplau.
Question 2 of 5
A nurse is working as part of an interdisciplinary treatment team caring for patients with psychiatric disorders. Based on the nurse's understanding of cognitive behavioral therapy (CBT) and its limitations cited by critics, the nurse would identify which patient as an inappropriate candidate for CBT?
Correct Answer: C
Rationale: The correct answer is C, a patient diagnosed with schizophrenia. CBT may not be suitable for individuals with severe cognitive impairments like those with schizophrenia. Schizophrenia can affect a person's ability to engage in cognitive processes necessary for CBT, such as reality testing and cognitive restructuring. Patients with schizophrenia may struggle with delusions, hallucinations, and disorganized thinking, making it challenging to benefit from traditional CBT techniques. Substance abuse (A), depression (B), and eating disorders (D) are conditions that have shown to respond well to CBT techniques, making them appropriate candidates for treatment.
Question 3 of 5
A nurse is developing a presentation for a local community group of young and middle-aged adults about common psychosocial problems. Which of the following would be least appropriate for the nurse to integrate into the presentation?
Correct Answer: D
Rationale: The correct answer is D because it is the least appropriate statement to integrate into the presentation. The presentation is about common psychosocial problems in young and middle-aged adults, and the statement about superior technologic advances primarily applying in the United States is not directly relevant to the topic. Step 1: Identify the topic of the presentation - common psychosocial problems in young and middle-aged adults. Step 2: Evaluate each choice based on relevance to the topic. Step 3: D is least appropriate as it focuses on technological advances rather than psychosocial problems. Step 4: A, B, and C are more relevant as they discuss age range, cultural aspects, and global norms related to the target audience. In summary, D is the least appropriate choice as it deviates from the main focus of the presentation on psychosocial problems in young and middle-aged adults. Choices A, B, and C are more relevant to the topic at hand.
Question 4 of 5
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
Correct Answer: A
Rationale: The correct answer is A: Problem stimulating usual problem solving. In crisis intervention, the first phase is when the individual encounters a problem that triggers their usual problem-solving skills. This initial phase involves recognizing the crisis and attempting to assess and address the problem. This sets the stage for further crisis intervention strategies. Choices B, C, and D are incorrect: B: Trial and error attempts to alleviate problem - This typically occurs after the crisis has been recognized and initial problem-solving attempts have been made. C: Automatic relief behaviors take over - This is more likely to be a coping mechanism employed after the crisis has escalated and the individual is seeking immediate relief. D: Serious personality disorganization - This usually occurs in the later stages of a crisis when the individual's ability to cope is severely compromised.
Question 5 of 5
The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Assessing for suicide risk is crucial before prescribing a tricyclic antidepressant due to the potential increase in suicidal ideation in the initial phase of treatment. Suicide risk assessment helps in determining the level of monitoring and support needed for the client. Choices B, C, and D are incorrect as hypersomnia, cardiac arrhythmia, and erectile dysfunction are not directly related to the initiation of tricyclic antidepressants and do not pose an immediate risk to the client's safety compared to suicidal ideation.