ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 9
The plan of care for a patient with schizophrenia identifies the following outcomes. Which of the following would the nurse identify as addressing the biologic domain? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because minimizing adverse effects of drug therapy directly relates to the biological domain of care for a patient with schizophrenia. This outcome focuses on managing the physical effects of medication, which is a key aspect of addressing the biological needs of the patient. Improving problem-solving skills (A) falls under the cognitive domain, promoting economic stability (B) relates to the financial domain, improving nutritional status (D) addresses the physical domain, and providing family education (E) pertains to the psychosocial domain.
Question 2 of 9
A group of nursing students are reviewing information about internal rights protection systems. The students demonstrate understanding of this information when they identify which of the following as an example?
Correct Answer: D
Rationale: The correct answer is D: The Joint Commission. The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations based on quality and safety standards. It establishes and enforces internal rights protection systems to ensure patient rights are respected. The other choices do not specifically focus on accrediting and certifying healthcare organizations or ensuring internal rights protection systems. The American Hospital Association and American Public Health Association are professional organizations that advocate for healthcare policies. State mental health providers typically focus on delivering mental health services rather than accrediting healthcare organizations.
Question 3 of 9
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
Correct Answer: A
Rationale: The correct answer is A (Behaviors) because, when integrating the Neuman systems model for a patient with a mood disorder, the nurse would focus on the patient's behaviors to assess how the disorder is impacting their daily functioning and interactions. By observing behaviors, the nurse can gain insights into the patient's coping mechanisms, emotional responses, and overall mental health status. This information is crucial for developing a tailored care plan that addresses the patient's specific needs. Summary of why other choices are incorrect: - Relationships (B): While relationships may play a role in the patient's mental health, the primary focus in the Neuman systems model for a patient with a mood disorder is on individual behaviors. - Self-care activities (C): While self-care is important, it may not be the primary focus when caring for a patient with a mood disorder using the Neuman systems model. - Stressors (D): While stressors can contribute to a mood disorder, the Neuman systems model emphasizes the assessment of
Question 4 of 9
A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally obligated to breach the patient’s confidentiality if the patient states which of the following?
Correct Answer: D
Rationale: Rationale: The correct answer is D because the nurse has a duty to breach confidentiality if the patient expresses an intent to harm themselves or others. In this case, the patient's statement about killing their neighbor indicates a serious threat that must be reported to ensure safety. Choices A, B, and C do not pose an immediate threat to the patient or others, so they do not require breaching confidentiality.
Question 5 of 9
A psychiatric-mental health nurse is working with a patient who is being treated for depression. Which patient statement would indicate that her spirituality is intact?
Correct Answer: A
Rationale: The correct answer is A because the patient's statement indicates that she has a support system in her church friends who visited her. This demonstrates a connection to a spiritual community, which can provide comfort, hope, and a sense of belonging. It shows that the patient values and maintains relationships with individuals who share her spiritual beliefs, contributing to her overall well-being. Choices B, C, and D are incorrect: - B reflects hopelessness and a lack of belief in the value of life, which is not indicative of intact spirituality. - C suggests resignation and acceptance of the current circumstances without any mention of spiritual beliefs or practices. - D indicates a sense of guilt and punishment, which may be indicative of a distorted or negative view of spirituality rather than an intact spiritual connection.
Question 6 of 9
The plan of care for a patient with schizophrenia identifies the following outcomes. Which of the following would the nurse identify as addressing the biologic domain? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because minimizing adverse effects of drug therapy directly relates to the biological domain of care for a patient with schizophrenia. This outcome focuses on managing the physical effects of medication, which is a key aspect of addressing the biological needs of the patient. Improving problem-solving skills (A) falls under the cognitive domain, promoting economic stability (B) relates to the financial domain, improving nutritional status (D) addresses the physical domain, and providing family education (E) pertains to the psychosocial domain.
Question 7 of 9
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?
Correct Answer: D
Rationale: The correct answer is D: Hope. Hope is a crucial concept in the recovery process, as it instills optimism and motivates individuals to strive for a better future. It helps individuals envision a life beyond their current struggles. Self-direction (A) is important but without hope, individuals may lack the motivation to direct their recovery efforts. Peer support (B) and respect (C) are valuable components, but hope serves as the foundation for building strong relationships and fostering a sense of dignity and empowerment.
Question 8 of 9
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient’s plan of care?
Correct Answer: A
Rationale: The correct answer is A: Desire is the cause of all human suffering and misery. In Buddhism, it is believed that desire and attachment lead to suffering. By understanding this principle, the nurse can develop a plan of care that focuses on helping the patient let go of attachments and desires that may be causing distress. This approach aligns with Buddhist teachings of mindfulness and non-attachment, promoting overall well-being. Choice B is incorrect because self-indulgence is not a concept in Buddhism, and nirvana is achieved through the cessation of desires, not indulging in them. Choice C is incorrect as Buddhism emphasizes the impermanence of all things, including happiness and unhappiness, rather than basing present behavior solely on current unhappiness. Choice D is incorrect because salvation in Buddhism is attained through one's own efforts, not through faith or humility in a higher power.
Question 9 of 9
A nurse is providing care to a patient with a mental disorder classified by the DSM- IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a patient, a truly accurate picture of the client is incomplete without considering other factors such as an estimate of current functioning and:
Correct Answer: A
Rationale: Step 1: Consideration of life stressors is crucial in understanding the impact on the patient's mental health. Step 2: Life stressors can significantly affect the course and severity of mental disorders. Step 3: Evaluating life stressors provides insight into triggers and exacerbating factors. Step 4: Cultural background, marital status, and genetic history are important but may not directly influence current functioning as much as life stressors. Summary: A is correct as it directly impacts current functioning, while B, C, and D are important but may not provide as much insight into the patient's current state.