ATI RN
ATI Mental Health Final Questions
Question 1 of 9
The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?
Correct Answer: B
Rationale: The correct answer is B because a verdict of not guilty by reason of insanity indicates that the client was unable to control their actions at the time of the crime due to a mental illness. This verdict focuses on the client's mental state during the commission of the offense, rather than their knowledge of right or wrong (Choice A), ability to assist in their defense (Choice C), or the role of mental illness in the crime (Choice D). Therefore, option B directly aligns with the legal concept of insanity defense, which emphasizes lack of control over actions as a result of mental illness.
Question 2 of 9
A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
Correct Answer: A
Rationale: The correct answer is A. By having the patient's spouse mark refill dates on the family calendar, it promotes family involvement in medication management, enhancing adherence. It also serves as a visual reminder for both the patient and spouse, reducing the likelihood of missed refills. This collaborative approach strengthens the support system and helps prevent relapse. Choice B is incorrect because it does not actively involve the patient or address the underlying issue of forgetfulness. Choice C may not be as effective as involving the spouse directly in the process. Choice D, while involving the patient, is too frequent and may not be necessary if the patient's stability can be maintained with proper support at home.
Question 3 of 9
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 4 of 9
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.
Question 5 of 9
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
Correct Answer: C
Rationale: The correct answer is C because participating in a problem-solving group helps reinforce self-responsibility in clients with antisocial personality disorder. By actively engaging in the group and contributing to solving problems, the client learns to take ownership of their actions and decisions. This can lead to increased accountability and self-awareness. Explanation for why other choices are incorrect: A: Developing attachments is not the primary goal of a problem-solving group for clients with antisocial personality disorder. B: While setting boundaries is important, it is not the main focus of a problem-solving group. D: Avoiding confrontation about dysfunctional patterns does not promote growth and self-responsibility, which is the main goal of the intervention.
Question 6 of 9
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.
Question 7 of 9
A Red Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman's pet poodle died as a result of the tornado. Which of the following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: The correct answer is A. The nurse would most likely expect to hear the woman express shock and numbness due to the traumatic event. This response aligns with the concept of psychological numbing, which is a common immediate reaction to severe trauma. The woman's statement of not being able to feel anything and nothing seeming real indicates a dissociative response, which is a typical initial coping mechanism in such situations. Choices B, C, and D are incorrect because they primarily focus on emotional devastation, practical concerns (insurance claim), and grief over the loss of the pet poodle, respectively. While these responses are valid emotional reactions, they do not reflect the typical immediate psychological response to a traumatic event like the one described. In contrast, choice A captures the expected initial shock and numbness often experienced in such circumstances.
Question 8 of 9
The nurse is assessing a client who is taking paliperidone. What is true regarding this medication?
Correct Answer: D
Rationale: The correct answer is D because paliperidone is a second-generation antipsychotic known for having a lower risk of causing extrapyramidal side effects like dystonia compared to first-generation antipsychotics. This is due to its mechanism of action and receptor profile. Choice A is incorrect as neutropenia is not a common side effect of paliperidone. Choice B is incorrect as paliperidone is available in both oral and long-acting injectable forms. Choice C is incorrect as paliperidone is a second-generation antipsychotic, not a first-generation antipsychotic.
Question 9 of 9
The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?
Correct Answer: B
Rationale: The correct answer is B because a verdict of not guilty by reason of insanity indicates that the client was unable to control their actions at the time of the crime due to a mental illness. This verdict focuses on the client's mental state during the commission of the offense, rather than their knowledge of right or wrong (Choice A), ability to assist in their defense (Choice C), or the role of mental illness in the crime (Choice D). Therefore, option B directly aligns with the legal concept of insanity defense, which emphasizes lack of control over actions as a result of mental illness.