ATI RN
Mental Health Practice Questions Questions
Question 1 of 9
What are the three types of delirium?
Correct Answer: D
Rationale: The correct answer is D: hyperactive, hypoactive, and mixed. Hyperactive delirium involves agitation and restlessness, hypoactive delirium is characterized by reduced activity and lethargy, and mixed delirium includes features of both hyperactive and hypoactive states. Choice A is incorrect as depression is not a type of delirium. Choice B is incorrect as confusion is a symptom found in all types of delirium, not a distinct type. Choice C is incorrect as dementia is a separate condition from delirium.
Question 2 of 9
What are the three types of delirium?
Correct Answer: D
Rationale: The correct answer is D: hyperactive, hypoactive, and mixed. Hyperactive delirium involves agitation and restlessness, hypoactive delirium is characterized by reduced activity and lethargy, and mixed delirium includes features of both hyperactive and hypoactive states. Choice A is incorrect as depression is not a type of delirium. Choice B is incorrect as confusion is a symptom found in all types of delirium, not a distinct type. Choice C is incorrect as dementia is a separate condition from delirium.
Question 3 of 9
A nurse is planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?
Correct Answer: C
Rationale: The correct answer is C: Stigma associated with the diagnosis. Stigma can lead to feelings of shame, isolation, and discrimination for families of patients with psychiatric disorders, causing significant stress. Families may struggle with societal judgment and misconceptions about mental illness, impacting their ability to seek support and cope effectively. Understanding and addressing stigma is crucial in supporting families. Explanation of why the other choices are incorrect: A: Severity of the patient's symptoms - While the severity of symptoms can be distressing for families, it is not the primary underlying issue related to stress. B: Barriers faced by the patient - Although barriers faced by the patient can contribute to stress, it is not the primary underlying issue experienced by families. D: Risk for relapse - While the risk for relapse can be a concern, it is not necessarily the primary underlying issue related to stress for families of patients with psychiatric disorders.
Question 4 of 9
Tommy, a 12-year-old boy admitted to the pediatric psychiatric unit, has recently been diagnosed with conduct disorder. In the activity room, the games he wanted to play were already in use. He responded by threatening to throw furniture and to hurt his peers who had the game he wanted. Nancy, a registered nurse, recognizes that Tommy's therapy must include:
Correct Answer: A
Rationale: The correct answer is A: Consistency in implementing the consequences of breaking rules. This is essential in managing conduct disorder as it helps establish clear boundaries and expectations for behavior. By consistently applying consequences when rules are broken, Tommy will learn that his actions have repercussions, promoting accountability and potentially reducing future outbursts. Choice B is incorrect because while empathy is important in understanding Tommy's emotions, it alone is not sufficient to address the underlying behavior. Choice C is incorrect as simply teaching the benefits of socializing does not directly address Tommy's behavior and the root causes of his conduct disorder. Choice D is incorrect as solitary time may not effectively address the need for structure, consequences, and social skill development that Tommy requires in his therapy.
Question 5 of 9
After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include?
Correct Answer: C
Rationale: The correct answer is C: Turning up the music loud. This strategy would be least likely to be included because it does not directly address the escalation of violent behavior. Counting to 10 and taking slow deep breaths are both commonly used techniques to help manage anger and prevent escalation. Taking a voluntary time out is also effective in creating a safe space to de-escalate. Turning up the music loud may serve as a distraction, but it does not actively address the underlying issues or help the patient stay in control of their emotions.
Question 6 of 9
A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind?
Correct Answer: B
Rationale: The correct answer is B: The client's experience of pain is real. In complex somatic symptom disorder, physical symptoms are real to the client even if there is no clear medical explanation. It is crucial for the nurse to validate the client's experience of pain to establish trust and promote therapeutic alliance. This approach can help address the underlying psychological factors contributing to the pain. Incorrect choices: A: Opioid analgesics are not always the primary mode of therapy for somatic symptom disorder as they may not address the underlying psychological factors contributing to the pain. C: Complementary therapies can be beneficial in managing pain and promoting overall well-being in clients with somatic symptom disorder. D: Outcomes need to consider not only the biologic aspects but also the psychosocial and environmental factors influencing the client's pain experience.
Question 7 of 9
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.
Question 8 of 9
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
Correct Answer: B
Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.
Question 9 of 9
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because accepting gifts from patients can create a conflict of interest and compromise the nurse's professional boundaries. By politely declining the gift in response to the patient's gratitude, the nurse maintains professionalism and reinforces the therapeutic relationship. This response acknowledges the patient's gratitude while emphasizing the nurse's commitment to ethical practice. Choices A and B are incorrect because they either violate facility policies or fail to address the issue of accepting gifts. Choice D is incorrect as it does not address the ethical dilemma of accepting gifts from patients.