ATI RN
ATI Final Mental Health Questions
Question 1 of 5
The case manager plans to discuss the treatment plan with a patient's family. Select the case manager's first action.
Correct Answer: C
Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.
Question 2 of 5
A nursing student is presenting a discussion of the history of psychiatric-mental health nursing and its place within nursing history. Which of the following would be most appropriate to include?
Correct Answer: C
Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing
Question 3 of 5
A psychiatric-mental health nurse is integrating Carl Rogers'theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.
Question 4 of 5
A patient is brought to the emergency department by her brother, who reports that the patient became very agitated and 'started hallucinating.' Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The brother states that the patient is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.
Question 5 of 5
A nurse is developing a plan of care for a family who is experiencing problems related to their child's chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique?
Correct Answer: C
Rationale: Rationale: 1. Bibliotherapy involves using written materials to help individuals understand and cope with emotional issues. 2. In this scenario, having the family read short stories written by parents of children with chronic illnesses can provide emotional support and guidance. 3. Psychoeducation focuses on educating individuals about their condition, not necessarily providing emotional support. 4. Social skills training and assertiveness training focus on developing specific skills, which are not the primary goal in this case.