ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
Holly is a 53-year-old female with terminal breast cancer. Holly's nurse in the hospital brings up the subject of hospice care. Holly becomes upset and states, 'I am not ready to give up and die.' You respond that hospice is:
Correct Answer: A
Rationale: The correct answer is A because hospice care focuses on enhancing the quality of life for patients with terminal illnesses and their families. It provides holistic support, including pain management, emotional and spiritual care, and practical assistance. By bringing up hospice care, the nurse is offering a compassionate approach that aims to ensure comfort and dignity for Holly during her end-of-life journey. Choice B is incorrect because hospice care does not necessarily mean the end of all treatments. It shifts the focus from curative treatments to palliative care, but it still provides medical support to manage symptoms and improve comfort. Choice C is incorrect as hospice care does not provide curative treatment. It focuses on comfort care and symptom management rather than trying to cure the terminal illness. Choice D is incorrect because hospice care is not about hastening death. It aims to provide support and comfort during the natural end-of-life process, not to aggressively end life.
Question 2 of 5
After studying the concepts of personality development, the nursing student understands that Freud is to psychoanalytic theory as Peplau is to:
Correct Answer: C
Rationale: Step 1: Identify Peplau's contribution - Peplau is known for her Interpersonal Theory, which emphasizes the therapeutic nurse-patient relationship. Step 2: Compare with Freud - Just like Freud is associated with psychoanalytic theory, which focuses on the unconscious mind and childhood experiences, Peplau's Interpersonal Theory focuses on the interpersonal relationships in nursing. Step 3: Eliminate other choices - A (Psychosocial theory) is more closely associated with Erikson, B (Nursing theory) is too broad, and D (Object relations theory) is more aligned with Melanie Klein. Step 4: Conclusion - The correct answer is C (Interpersonal theory) because Peplau's work focuses on the interpersonal relationships within the nursing context, similar to how Freud focused on psychoanalytic theory.
Question 3 of 5
A client asks the evening shift nurse,"How do you feel about my refusing to attend group therapy this morning?" The nurse responds,"How did your refusing to attend group make you feel?" This nurse is using which communication technique?
Correct Answer: C
Rationale: The correct answer is C: Therapeutic use of "reflection." This communication technique involves mirroring the client's feelings or thoughts back to them, allowing them to explore their own emotions. In this scenario, the nurse is reflecting the client's feelings back to them by asking how their refusal to attend group therapy made them feel. This encourages self-exploration and insight. A: Therapeutic use of "restatement" involves repeating the client's words to show understanding, which is not demonstrated in the scenario. B: Nontherapeutic use of "probing" involves asking direct questions that may feel intrusive, which is not the case here. D: Nontherapeutic use of "interpreting" involves offering interpretations or judgments, which is not demonstrated in the scenario.
Question 4 of 5
A citizen at a community health fair asks the nurse, 'What is the most prevalent mental disorder in the United States?' Select the nurse's correct response.
Correct Answer: D
Rationale: The correct answer is D: Alzheimer's disease. Alzheimer's disease is the most prevalent mental disorder in the United States, affecting millions of individuals. It is a neurodegenerative disorder characterized by memory loss and cognitive decline. Schizophrenia (A) is less common than Alzheimer's disease. Bipolar disorder (B) and Dissociative fugue (C) are also less prevalent compared to Alzheimer's disease. Alzheimer's disease is specifically known for its high prevalence and impact on the population.
Question 5 of 5
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts. Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide. Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide. Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.