ATI RN
Nursing Mental Health Practice Questions Questions
Question 1 of 5
The plan of care for a client diagnosed with depression includes cognitive interventions. The nurse would expect to assist with which of the following?
Correct Answer: C
Rationale: The correct answer is C: Thought stopping. Cognitive interventions for depression aim to challenge and change negative thought patterns. Thought stopping is a technique used to interrupt and replace negative thoughts with more positive or neutral ones. This helps the client break the cycle of negative thinking associated with depression. A: Social skills training focuses on improving interpersonal interactions, not directly addressing cognitive distortions. B: Activity scheduling involves planning and engaging in activities to increase positive experiences, but it does not directly target cognitive distortions. D: Interpersonal therapy focuses on improving relationships and communication skills, rather than directly addressing cognitive distortions.
Question 2 of 5
A child and the child's family visit a psychiatric outpatient setting because the parent is concerned about the child's behavior at school. The child scores 65 on the Global Assessment of Functioning (GAF) scale. The nurse interprets this finding as which of the following?
Correct Answer: D
Rationale: The correct answer is D: The child can be treated effectively as an outpatient. A GAF score of 65 indicates mild symptoms and the child is able to function adequately in most areas. The child does not require inpatient therapy (choice A) as the symptoms are not severe. There is no indication of homicidal thoughts (choice B) based on the GAF score. While the child may be struggling in some areas, the score suggests that they are functioning relatively well overall and can benefit from outpatient treatment (choice D).
Question 3 of 5
A nursing instructor is preparing a teaching plan for a group of nursing students who will be working with homeless populations. As part of the class, the instructor will be including information about barriers to successful treatment of homeless clients who are mentally ill. Which reason would the instructor include as contributing to lack of compliance with psychotropic medications?
Correct Answer: B
Rationale: The correct answer is B: Lack of proper medication storage. Homeless individuals may lack access to safe and secure storage for medications, leading to issues such as loss, theft, or spoilage. This can result in inconsistent or missed doses, affecting treatment effectiveness. Other choices are incorrect because: A: Mistrust of medical personnel may be a barrier to seeking care but does not directly relate to medication compliance. C: Chemical dependence on prescription medications is a separate issue and not necessarily a common barrier for homeless individuals. D: Lack of motivation and literacy skills can impact overall engagement in treatment but may not specifically address medication storage as a barrier.
Question 4 of 5
Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient?
Correct Answer: A
Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands is a sign of positive self-esteem and mental health. This indicates a healthy level of self-awareness and confidence. Choice B is incorrect as it suggests impulsivity and lack of consideration for consequences, which are not indicative of mental health. Choice C is incorrect as it demonstrates selfish behavior and disregard for others, which are not characteristics of mentally healthy behavior. Choice D is incorrect as seeking help when needed is a positive trait, but it does not necessarily indicate mental health achievement as much as self-reliance and independence do.
Question 5 of 5
A nurse in a provider's office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client's history is a contraindication to using combination oral contraceptives?
Correct Answer: C
Rationale: The correct answer is C: Impaired liver function. Impaired liver function is a contraindication to using combination oral contraceptives due to the liver's role in metabolizing the hormones in the contraceptives. Impaired liver function can affect the metabolism of these hormones, leading to potential complications. A: Thyroid disease is not a contraindication to using combination oral contraceptives as it does not directly impact the metabolism of the hormones. B: Allergy to penicillin is not relevant to the use of oral contraceptives as they do not contain penicillin. D: Abnormal blood glucose levels are not a direct contraindication to using combination oral contraceptives unless the levels are severely uncontrolled, which would be an indication for further evaluation but not an absolute contraindication.