ATI RN
Virtual ATI Mental Health Assessment Questions
Question 1 of 9
"QSEN" refers to
Correct Answer: B
Rationale: The correct answer is B: Quality and Safety Education for Nurses (QSEN). This is because QSEN is an initiative that focuses on improving the quality and safety of healthcare by providing education and resources for nurses. It aims to prepare nurses with the knowledge, skills, and attitudes necessary to enhance patient outcomes and reduce medical errors. Choice A is incorrect because it does not accurately represent the purpose of QSEN. Choice C is incorrect as it does not mention the focus on safety and quality in nursing care. Choice D is incorrect as it does not capture the comprehensive nature of the QSEN initiative.
Question 2 of 9
A 4-year-old grabs toys from other children and says, 'I want that now!' From a psychoanalytic perspective, this behavior is a product of impulses originating in which system of the personality?
Correct Answer: A
Rationale: The correct answer is A: Id. According to psychoanalytic theory by Freud, the Id is the primitive and instinctual part of the mind that operates on the pleasure principle, seeking immediate gratification of needs and desires without considering consequences. In this scenario, the child grabbing toys impulsively and demanding immediate satisfaction aligns with the characteristics of the Id. The Ego, on the other hand, mediates between the Id and the external world, considering reality and consequences. The Superego represents internalized societal and parental values, regulating moral and ethical behavior. The Preconscious refers to thoughts that are not currently in awareness but can be easily brought to consciousness.
Question 3 of 9
A nurse is communicating with a client on an inpatient psychiatric unit. The client moves closer and invades the nurse's personal space, making the nurse uncomfortable. Which is an appropriate nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: The nurse expresses a sense of discomfort and limits behaviors. This is the appropriate intervention because it establishes clear boundaries and communicates the nurse's discomfort while maintaining a therapeutic relationship. By expressing discomfort and setting limits, the nurse asserts their personal space and ensures a safe environment for both parties. Choice A is incorrect because ignoring the behavior doesn't address the issue and may compromise the nurse's well-being. Choice C is incorrect as it passively accepts the invasion of personal space without addressing the discomfort. Choice D is incorrect as it immediately escalates the situation to a confrontational level, which may not be necessary at this stage and could harm the therapeutic relationship.
Question 4 of 9
A psychiatric-mental health nurse working in a Veteran's Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband's mental health problems, which response would the nurse most likely expect?
Correct Answer: A
Rationale: The correct answer is A because it highlights a common cultural belief in Asian communities that mental health issues can be attributed to physical causes like vitamin deficiencies. This response indicates the wife's potential perspective and understanding of her husband's mental health problems, which is important for the nurse to consider when providing support. Choice B is incorrect as it perpetuates a negative stereotype about mental health issues being solely caused by war trauma. Choice C is incorrect as it suggests severe symptoms of PTSD without considering the cultural context. Choice D is incorrect as it focuses on the husband's behavior rather than his potential mental health issues and lacks cultural sensitivity.
Question 5 of 9
A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on which of the following?
Correct Answer: D
Rationale: The correct answer is D because a large group is more effective for dealing with a specific issue due to the diversity of perspectives and experiences that can be shared. In a large group, there are more opportunities for brainstorming, problem-solving, and support. This leads to a richer discussion and more comprehensive exploration of the issue at hand. Choice A is incorrect because transference and countertransference issues can still arise in a large group setting. Choice B is incorrect as group cohesiveness may actually be harder to achieve in a larger group. Choice C is incorrect as a large group offers more potential interactions and relationships, not limited ones.
Question 6 of 9
A female client is diagnosed with panic disorder. The client tells the nurse that she hasn't left her house in more than a month because she was afraid of another attack. She visited the mental health clinic today only because her son brought her. Which nursing diagnosis would be a priority for this client?
Correct Answer: D
Rationale: The correct answer is D: Social Isolation related to fear of recurrence of anxiety symptoms. This is the priority nursing diagnosis for the client because her inability to leave the house due to fear of another panic attack has led to significant social isolation. This isolation can exacerbate her anxiety and impact her overall well-being. By addressing social isolation, the nurse can help the client reconnect with the community and support systems, which is crucial for managing panic disorder. Choice A (Powerlessness related to symptoms of anxiety) is incorrect because while the client may feel powerless, the immediate concern is the social isolation impacting her daily functioning. Choice B (Decisional Conflict related to fear of leaving the house) is incorrect as the client's issue is more about the consequences of not leaving the house rather than a decisional conflict. Choice C (Ineffective Family Coping related to symptoms of anxiety) is also incorrect as the focus should be on the client's own coping mechanisms and isolation rather than the family's coping strategies.
Question 7 of 9
The school nurse is caring for a 7-year-old child who has demonstrated a significantly lower-than-average score for mental age on standardized tests in reading. However, the child's IQ scores were within the average range. The nurse interprets this information as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Dyslexia. Dyslexia is a learning disorder that affects reading ability despite average intelligence. In this case, the child's significantly lower-than-average mental age in reading but average IQ scores indicate a specific difficulty with reading and language processing, which aligns with dyslexia. A: Communication disorder does not specifically address the reading difficulties. B: Attention deficit hyperactivity disorder does not directly relate to the child's reading challenges. C: Asperger syndrome is a developmental disorder primarily affecting social interaction and communication, not reading skills.
Question 8 of 9
A forensic nurse examiner is interviewing an individual accused of a homicide. Which question should the nurse ask in preparation for a possible legal insanity defense?
Correct Answer: B
Rationale: The correct answer is B because asking about hallucinations is crucial for assessing the individual's mental state. Hearing voices that no one else can hear may indicate a psychotic disorder, which could be relevant for an insanity defense. Choice A is irrelevant to legal insanity defense as intellectual deficiency is not the same as legal insanity. Choice C focuses on the crime but does not directly address the individual's mental state. Choice D is also irrelevant to the legal insanity defense as knowing the victim does not determine legal sanity.
Question 9 of 9
After assessing a patient, the nurse noted the following: he was tearful, he tried to kill himself before coming into the hospital, he had no immediate plan for another suicide attempt, he was unable to concentrate, and he reported having trouble sleeping and having little or no appetite. The nurse also noted that the patient's appearance was unkempt, that he spoke in a low monotone, and that he was unable to establish and maintain eye contact. Based on this information, which nursing diagnoses would be the most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Risk for Suicide. Given the patient's presentation of being tearful, previous suicide attempt, inability to concentrate, sleep disturbances, poor appetite, unkempt appearance, low monotone speech, and lack of eye contact, these are all indicative of suicidal ideation and risk. The nurse should prioritize this nursing diagnosis to ensure the patient's safety. A: Ineffective Role Performance does not address the immediate risk of suicide. B: Risk for Infection is not indicated by the patient's symptoms. D: Risk for Self-Mutilation is not the priority as the patient's immediate risk is suicidal behavior.