ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
Before providing the client with brochures on available community resources, the nurse identifies the client's personal strengths in which stage of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: assessment. In the assessment stage of the nursing process, the nurse gathers information about the client's personal strengths, weaknesses, and resources. By identifying the client's strengths during assessment, the nurse can tailor the care plan to utilize these strengths effectively. Choice B: analysis, comes after assessment and involves interpreting the data collected. Choice C: planning, is where the nurse develops goals and interventions based on the assessment data. Choice D: implementation, is the stage where the nurse carries out the care plan developed during planning. These choices are incorrect as they occur after the assessment stage in the nursing process.
Question 2 of 5
Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:
Correct Answer: C
Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns. Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect. Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns. Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.
Question 3 of 5
Group dynamics can vary widely and at times members are capable of disrupting the group process. Which of the following participant traits may indicate a need for additional support for a new nurse facilitator? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because a quietly tearful participant expressing suicidal thoughts indicates a serious mental health concern that requires immediate attention and support. This participant may be in distress and at risk of harm, making it crucial for the new nurse facilitator to provide appropriate resources and assistance. Choice A is incorrect because paranoid delusions may not necessarily impact the group dynamics unless they lead to disruptive behavior. Choice C is incorrect as anger alone does not indicate a need for additional support unless it escalates to disruptive behavior. Choice D is also incorrect as being a calm but ineffective communicator may not necessarily indicate a need for additional support unless it hinders the group process.
Question 4 of 5
A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?
Correct Answer: A
Rationale: The correct answer is A: Going away to college. A developmental crisis is a normal life event that occurs as a person progresses through the stages of life. Going away to college is a typical developmental milestone that can cause stress and require adaptation. This type of crisis is expected and can lead to personal growth and development. Choice B, obtaining a job promotion, is not a developmental crisis as it is not a typical life event associated with a specific stage of life. Choice C, loss of a pet, is considered a situational crisis rather than a developmental crisis. Choice D, earthquake, is classified as a traumatic crisis caused by a sudden and unexpected event, which is not related to personal growth or normal life transitions.
Question 5 of 5
Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story. Choices A, B, and D are incorrect: A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings. B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion. D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.