ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 5
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient
Correct Answer: D
Rationale: The correct answer is D because the patient is experiencing command auditory hallucinations that pose an imminent threat to themselves or others. This is indicative of acute psychosis requiring immediate psychiatric intervention. Choice A is experiencing common emotional distress and can be managed on an outpatient basis. Choice B has self-inflicted minor harm but does not present an immediate danger. Choice C is likely experiencing side effects of medication and can be managed without urgent inpatient care. In summary, only choice D presents a clear and immediate risk that necessitates admission to the psychiatric unit.
Question 2 of 5
A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. The patient is
Correct Answer: D
Rationale: The correct answer is D because the patient's behavior of being tense, vigilant, pacing, clenching fists, and staring can be indicative of potential aggression. This behavior shows signs of escalating agitation and aggression, which should be addressed promptly for safety. A: Withdrawal typically involves avoiding social interactions and showing disinterest, which does not align with the patient's behavior. B: Working through angry feelings would involve more introspective or expressive behaviors, not outward signs of potential aggression. C: Relaxation strategies would involve more calming and self-soothing behaviors, which are not exhibited by the patient in this scenario.
Question 3 of 5
The nurse is caring for a group of patients in a partial hospitalization program. The nurse would most likely be involved in which of the following activities?
Correct Answer: C
Rationale: The correct answer is C because in a partial hospitalization program, the nurse's role often includes teaching patients practical skills to support their daily living. Teaching patients how to plan a menu and shop for groceries is important for promoting healthy eating habits and overall wellness. This activity directly aligns with the goal of a partial hospitalization program, which is to help patients develop skills to function independently. Choice A is incorrect because facilitating a drug abuse prevention group is more likely to be part of a substance abuse program, not a partial hospitalization program. Choice B is incorrect because providing spiritual assessment and interventions is typically the role of a spiritual care provider or counselor, not a nurse in a partial hospitalization program. Choice D is incorrect because providing an educational group about the nutritional content of canned foods is not directly related to teaching patients practical skills for daily living, which is the focus of a partial hospitalization program.
Question 4 of 5
A nurse is caring for a psychiatric patient who is receiving an antacid that contains aluminum salts. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Administer the antacid 1 hour after the antipsychotic medication. Aluminum salts can reduce the absorption of certain medications, including antipsychotics. Giving the antacid 1 hour after the antipsychotic medication allows for adequate absorption of the antipsychotic while still providing relief from gastric symptoms. Option A would not be ideal as it may interfere with the absorption of the antipsychotic. Option B could potentially decrease the effectiveness of the antipsychotic by reducing its absorption. Option D is not recommended as aluminum salts can cause reflux when lying down, potentially worsening the patient's symptoms.
Question 5 of 5
While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?
Correct Answer: A
Rationale: The correct answer is A because it is important for children to be given clear and honest information about death to help them process their grief effectively. This choice provides the 4-year-old sister with a direct and simple explanation of her brother's death, which can help her understand the permanence of the situation. Choices B, C, and D use euphemisms or abstract concepts that may confuse or mislead the child, potentially causing more distress or misunderstanding. It is crucial to be honest and straightforward with children about death to support their emotional well-being.