ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?
Correct Answer: A
Rationale: Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha). Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering. Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace. Step 4: Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.
Question 2 of 5
A male patient has recently been diagnosed with type II diabetes. His family is having trouble incorporating the dietary and exercise regimen prescribed by his physician into their daily routines. They tell the nurse that they are all tired when they return home from school and work and that the last thing any of them want to do is go on a walk. In addition, the patient's wife discloses that she is unable to prepare any sugar-free or low-sugar foods that her husband enjoys eating. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: D
Rationale: The correct answer is D: Ineffective Family Therapeutic Regimen Management. This nursing diagnosis is appropriate because it addresses the family's struggle in incorporating the prescribed dietary and exercise regimen for the patient's type II diabetes. The family's inability to adjust to the new routine and the wife's difficulty in preparing suitable meals indicate ineffective management of the therapeutic regimen. Choice A, Interrupted Family Processes, is incorrect because there is no evidence of a disruption in family dynamics. Choice B, Ineffective Denial, is incorrect as the family is not in denial but rather facing practical challenges. Choice C, Caregiver Role Strain, is not the most appropriate diagnosis as the main issue lies in the family's ability to manage the therapeutic regimen, not in the caregiver's emotional strain. In summary, the correct nursing diagnosis, D, directly addresses the family's challenges in following the prescribed regimen, making it the most appropriate choice in this scenario.
Question 3 of 5
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia. Sympathetic nervous stimulation in the fight-or-flight response leads to increased heart rate to pump more blood to the muscles. This helps prepare the body for physical activity during stress. A: Hypoglycemia is incorrect because sympathetic stimulation actually leads to increased blood sugar levels for energy. C: Hypotension is incorrect as sympathetic activation causes vasoconstriction, raising blood pressure, not lowering it. D: Hypercoagulability is incorrect as sympathetic activation can lead to increased blood clotting but is not a direct result of sympathetic nervous stimulation.
Question 4 of 5
A nurse is preparing an in-service program for a group of psychiatric mental health nurses about schizophrenia. Which of the following would the nurse include as a major reason for relapse?
Correct Answer: C
Rationale: The correct answer is C: Non-adherence to prescribed medications. Non-adherence to medications is a major reason for relapse in schizophrenia due to the importance of medication in managing symptoms and preventing relapses. Lack of family support (A) can impact recovery but may not directly lead to relapse. Accessibility to community resources (B) is important for support but not a major reason for relapse. Stigmatization of mental illness (D) can affect treatment seeking behavior but is not a direct cause of relapse.
Question 5 of 5
After teaching a class about the biochemical theories associated with panic disorder, the instructor determines a need for additional teaching when the students identify which neurotransmitter as being implicated?
Correct Answer: A
Rationale: The correct answer is A: Dopamine. In the context of panic disorder, serotonin and norepinephrine are typically implicated due to their roles in regulating mood and anxiety. GABA is involved in inhibiting neurotransmission, thus helping to reduce anxiety. Dopamine, however, is not directly associated with panic disorder and its dysregulation is more commonly linked to disorders like schizophrenia and Parkinson's disease. Therefore, if students identify dopamine as being implicated in panic disorder, it indicates a need for additional teaching to correct this misconception and emphasize the roles of serotonin, norepinephrine, and GABA instead.