ATI RN
Ancc Mental Health Practice Questions Questions
Question 1 of 9
During a therapy session, a patient is asked to rate the intensity of his current issue from 1 to 10 with 1 being complete absence of the issue and 10 being the most intense. The patient is being asked which type of question?
Correct Answer: C
Rationale: The correct answer is C: Scaling. Scaling questions involve asking clients to rate the intensity of their issues on a numerical scale, just like in this scenario. This helps therapists understand the perceived severity of the problem and track changes over time. Relationship questions focus on interpersonal dynamics, miracle questions explore ideal outcomes, and exception questions inquire about times when the issue is not present. In this case, the question about rating intensity aligns best with the scaling technique.
Question 2 of 9
A patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Suicide precautions. The patient's statement indicates suicidal ideation and intent. Priority is to ensure immediate safety. Suicide precautions involve continuous monitoring, removing harmful objects, and providing a safe environment. A: Self-esteem activities, B: Anxiety measures, and C: Sleep enhancement are important, but not the priority when a patient is at risk of self-harm.
Question 3 of 9
The nurse is working with a patient whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the patient, who has diabetes, is developing problems with vision and hearing. The patient seems increasingly withdrawn and depressed. The nurse determines that the patient is at risk for spiritual distress. Which intervention would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because exploring the impact of the mobility, sight, and hearing changes on the patient allows the nurse to address the patient's holistic needs, including spiritual distress. By understanding the patient's perspective on these changes, the nurse can provide support tailored to the patient's concerns, fostering a sense of connection and understanding. Choice A is incorrect because focusing solely on childhood religious experiences may not address the current issues the patient is facing. Choice B is inappropriate as it imposes the nurse's religious beliefs on the patient. Choice C is also incorrect as it assumes a specific religious approach without considering the patient's individual beliefs and needs.
Question 4 of 9
As a nurse working in obstetrics, what is one way to mitigate possible causes of intellectual disability?
Correct Answer: B
Rationale: The correct answer is B because avoiding environmental risks during pregnancy can help mitigate possible causes of intellectual disability. Environmental factors such as exposure to toxins, infections, and poor nutrition can have a significant impact on fetal brain development. By educating parents about these risks, nurses can empower them to make informed choices to protect their baby's cognitive development. Choice A is incorrect because treatment options are not preventive measures to avoid intellectual disability. Choice C is incorrect because while genetics can play a role in intellectual disability, it is not something parents can actively mitigate during pregnancy. Choice D is incorrect because learning disabilities are different from intellectual disabilities, and addressing them at school age is not a preventive measure during pregnancy.
Question 5 of 9
The statement"Growth involves resolution of critical tasks through the eight stages of the life cycle" is a concept of which therapeutic model?
Correct Answer: A
Rationale: The correct answer is A: Interpersonal. This concept aligns with Erikson's psychosocial theory, which emphasizes the importance of resolving developmental tasks at each stage of life. Interpersonal therapy focuses on relationships and interactions with others, making it the most suitable model for addressing growth through the life cycle. Choice B (Cognitive-behavioral) focuses on thoughts and behaviors, not developmental stages. Choice C (Intrapersonal) refers to self-awareness and understanding, not specifically addressing life stages. Choice D (Psychoanalytic) focuses on unconscious processes and early childhood experiences, not necessarily on resolving tasks through different life stages.
Question 6 of 9
Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events?
Correct Answer: A
Rationale: The correct answer is A because attending therapy sessions regularly is a key component of treatment for managing the effects of traumatic events. Regular therapy sessions help individuals process their trauma, develop coping strategies, and work towards healing. Choice B is incorrect as suppressing intrusive memories can worsen mental health. Choice C is incorrect as keeping busy may serve as a distraction but does not address the root cause of trauma. Choice D is incorrect as moving in with parents for support is helpful, but therapy is the evidence-based treatment for trauma management.
Question 7 of 9
A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication would the nurse expect to most likely administer?
Correct Answer: B
Rationale: The correct answer is B: Haloperidol lactate (Haldol). In the acute phase of mania, antipsychotic medications like haloperidol are commonly used to manage symptoms such as agitation, hyperactivity, and psychosis. Haloperidol helps to reduce dopamine activity in the brain, which can help stabilize mood and behavior during manic episodes. Lithium (A) is more commonly used for long-term mood stabilization in bipolar disorder. Fluoxetine (C) and Paroxetine (D) are selective serotonin reuptake inhibitors (SSRIs) used for depression and not recommended during mania due to the risk of worsening manic symptoms.
Question 8 of 9
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds the blanket throughout the session while rocking back and forth in the chair. What defense mechanism is the client demonstrating?
Correct Answer: D
Rationale: The correct answer is D: regression. The client clutching a blanket and rocking back and forth indicate a return to an earlier stage of development to cope with stress or anxiety. Regression involves reverting to behaviors from a less mature stage. Denial (A) involves refusing to acknowledge reality, projection (B) involves attributing one's feelings onto others, and undoing (C) involves trying to undo or reverse an unacceptable action or thought. These defense mechanisms do not align with the client's behavior of regression.
Question 9 of 9
A client is prescribed disulfiram as part of his alcohol treatment program to prevent relapse. The client asks the nurse, 'How will this drug help me?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: It can help to prevent you from drinking. Disulfiram works by causing unpleasant symptoms (such as nausea, vomiting, and headache) when alcohol is consumed, acting as a deterrent to drinking. This helps the client stay sober and avoid relapse. Incorrect choices: A: It will help to cure your alcoholism - Disulfiram does not cure alcoholism but helps manage it. C: It makes the withdrawal symptoms less troublesome - Disulfiram does not address withdrawal symptoms. D: It helps to clear the alcohol out of your body - Disulfiram does not clear alcohol from the body but rather prevents its metabolism, leading to adverse effects if alcohol is consumed.