ATI RN
Mental Health And Mental Illness Practice Questions Questions
Question 1 of 5
The nurse is determining the success of a patient's plan of care by evaluating outcome indicators. The nurse understands that these indicators are usually determined initially at which time?
Correct Answer: B
Rationale: The correct answer is B: During the assessment process. This is because outcome indicators are used to measure the effectiveness of the care plan and are typically established during the assessment phase to provide a baseline for comparison. By evaluating outcome indicators during the assessment process, the nurse can track progress, adjust interventions if needed, and ensure the patient's goals are being met. A: On the day of discharge - This is incorrect because outcome indicators are typically determined before discharge to assess the overall success of the care plan. C: At the initial interview - This is incorrect as outcome indicators are more closely related to the assessment process and ongoing evaluation. D: With goal-setting process - This is incorrect because while outcome indicators are used to measure goal achievement, they are typically determined during the assessment to establish a starting point.
Question 2 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.
Question 3 of 5
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.
Question 4 of 5
A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Stay with the client while remaining calm. Rationale: 1. Presence and calmness provide reassurance and support during a panic attack. 2. Staying with the client helps prevent further distress or harm. 3. The nurse can assess the client's condition and provide immediate assistance if needed. 4. It establishes trust and a therapeutic relationship. Summary: B: Moving the client to a safe environment is important, but staying with the client is the priority for immediate support. C: Telling the client the attack will soon pass may not be effective during the acute phase of panic. D: Teaching deep breathing techniques can be helpful, but it is not the first step in managing a client experiencing a panic attack.
Question 5 of 5
A client is being assessed for complex somatic symptom disorder. Which client statement would the nurse interpret as most likely supporting this diagnosis?
Correct Answer: C
Rationale: The correct answer is C because the statement reflects persistent and severe somatic symptoms that are distressing to the client and significantly impact their daily life. This aligns with the criteria for complex somatic symptom disorder, which includes excessive thoughts, feelings, or behaviors related to somatic symptoms. Choices A, B, and D do not express the same level of distress, preoccupation, or impact on daily functioning as choice C, making them less indicative of complex somatic symptom disorder.