Questions 9

ATI RN

ATI RN Test Bank

Psychiatric Nursing Practice Questions Questions

Question 1 of 5

The nurse is reviewing the medical record of a patient and notes the information below. Which of the following would be found on Axis III? Select all that apply.

Correct Answer: C

Rationale: Axis III in the DSM-5 refers to any relevant medical conditions or physical disorders that may be impacting the patient's mental health. In this case, Chronic obstructive pulmonary disorder (COPD) would be found on Axis III as it is a physical health condition. Cocaine dependence (A) and Bipolar I disorder (B) would be found on Axis I as they are mental health disorders. Cellulitis (D) is a skin infection and would also not be found on Axis III as it is not a chronic physical health condition.

Question 2 of 5

A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?

Correct Answer: D

Rationale: The correct answer is D: `We can pray together if you’d like.​` This response reflects the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's strong faith. By offering to pray together, the nurse shows support, empathy, and understanding of the patient's spiritual beliefs, which can provide comfort and solace during a challenging time. Option A is incorrect as it focuses on the nurse's church rather than the patient's faith. Option B is inappropriate as it imposes the nurse's beliefs on the patient. Option C is not the best choice as guided imagery may not align with the patient's specific spiritual needs.

Question 3 of 5

A patient’s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?

Correct Answer: A

Rationale: The correct answer is A: 94. A score of 94 indicates minimal symptoms with good functioning. The Global Assessment of Functioning (GAF) scale ranges from 1 to 100, with higher scores indicating better functioning. A score of 94 implies minimal to no symptoms and excellent functioning in all areas. Incorrect Choices: B: 82 - This score suggests mild symptoms or moderate difficulty in social, occupational, or school functioning. C: 75 - Indicates symptoms that are transient and expectable reactions to psychosocial stressors. D: 63 - Indicates moderate symptoms or moderate difficulty in social, occupational, or school functioning.

Question 4 of 5

A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. Which of the following would the instructor identify as a major challenge associated with it?

Correct Answer: A

Rationale: The correct answer is A: Maintaining confidentiality. Electronic health records in psychiatric-mental health care present challenges in protecting sensitive patient information due to potential breaches in security. This is crucial in maintaining trust and privacy between patients and healthcare providers. Choice B (Establishing educational models) is not a major challenge related to technology and EHRs. Choice C (Decreasing fragmented care) is actually a potential benefit of technology by improving communication and coordination among healthcare providers. Choice D (Defining professional standards more clearly) is important but not a major challenge specifically associated with technology and EHRs in psychiatric-mental health care.

Question 5 of 5

After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?

Correct Answer: B

Rationale: The correct answer is B because Confucianism does not believe in assigning people to castes. Confucianism emphasizes meritocracy and the importance of personal virtue rather than birthright or social status. A: People are born good aligns with Confucianism's belief in the innate goodness of individuals. C: Authority figures are respected reflects Confucianism's emphasis on respecting and obeying elders and leaders. D: Self-responsibility leads to improvement is in line with Confucian teachings on self-cultivation and ethical conduct. Therefore, the belief that people are assigned to castes is not associated with Confucianism.

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