ATI RN
ATI Mental Health Final Questions
Question 1 of 5
The nursing student is experiencing a severe family crisis. In what way might this situation affect the student's performance in a psychiatric rotation?
Correct Answer: A
Rationale: The correct answer is A. The nursing student experiencing a severe family crisis might overidentify with clients, projecting their own needs onto them. This can lead to blurred professional boundaries and compromised care. Choice B is incorrect because fear of clients is more likely to stem from personal anxiety rather than a family crisis. Choice C is incorrect as feeling inadequate is a separate issue from overidentification. Choice D is incorrect because self-doubt due to lack of knowledge is not directly related to family crisis-induced overidentification.
Question 2 of 5
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 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. The patient's inability to maintain eye contact, lowering of the chin, and looking at the floor are all nonverbal cues that convey important information about the patient's emotional state. Nonverbal communication plays a significant role in expressing feelings and emotions, and in this scenario, the patient's nonverbal cues indicate potential signs of distress or discomfort. The nurse's assessment of these nonverbal behaviors is crucial for understanding the patient's underlying emotions and providing appropriate support and care. Summary: B: A message filter - This choice is incorrect because the patient's nonverbal behaviors are not acting as a filter for the message but are a form of communication themselves. C: A cultural barrier - This choice is incorrect as the patient's nonverbal cues are more indicative of emotional distress rather than a cultural barrier. D: Social skills - This choice is incorrect because the patient's nonverbal behaviors are related to emotional expression rather than social
Question 4 of 5
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 5 of 5
An instructor is preparing a class discussion on the various theoretical models used in psychiatric-mental health nursing. When describing cognitive theories, which statement would the instructor include?
Correct Answer: C
Rationale: The correct answer is C because cognitive theories specifically focus on linking internal thought processes with behavior. Cognitive theories explore how individuals perceive, interpret, and process information, influencing their behavior. Choice A is incorrect as it refers more to developmental theories. Choice B is incorrect as it relates to behavioral theories. Choice D is incorrect as it pertains to growth and development theories, not cognitive theories. Therefore, Choice C is the most accurate description of cognitive theories.