ATI RN
ATI Mental Health Book Questions
Question 1 of 5
What does the anti-psychiatry movement want to reform in psychiatric practices?
Correct Answer: B
Rationale: The correct answer is B because the anti-psychiatry movement aims to enhance transparency and client involvement in treatment decisions. This aligns with their belief in empowering individuals and prioritizing their autonomy in their own mental health care. By involving clients in treatment decisions and promoting transparency, the movement seeks to challenge traditional hierarchical structures in psychiatry. Choice A is incorrect as the anti-psychiatry movement generally opposes involuntary treatments due to ethical concerns. Choice C is incorrect as the movement actually emphasizes the importance of social determinants of mental health and advocates for addressing these factors. Choice D is incorrect as the movement does not aim to eliminate all medications, but rather questions the overreliance on medication as the primary form of treatment.
Question 2 of 5
A nursing student is experiencing fears related to the first clinical experience in a psychiatric setting. This is most likely to occur in which phase of the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A: In the pre-interaction phase, because the student is likely to be suspicious of psychiatric clients. During the pre-interaction phase, the nurse forms initial impressions and feelings about the client. The nursing student's fears related to the first clinical experience in a psychiatric setting are likely to manifest in this phase as they may have misconceptions or stereotypes about psychiatric clients, leading to feelings of fear or suspicion. This phase sets the tone for the interaction and can influence the student's approach and behavior during the clinical experience. Summary of other choices: B: In the orientation phase, the focus is on establishing trust and clarifying roles, not on the student's fears. C: In the working phase, the student should be actively engaging in therapeutic interventions, not focused on past experiences. D: In the termination phase, the student should be reflecting on the outcomes of the therapeutic relationship, not on fears about their ability to make a difference.
Question 3 of 5
A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Anticholinergics. In Parkinson's disease, anticholinergics are commonly used to manage symptoms by blocking the action of acetylcholine, which is an excitatory neurotransmitter. These medications can worsen cognitive impairment in patients with dementia. Assessing for anticholinergic use in the client's history is crucial to prevent exacerbating cognitive decline. Summary of incorrect choices: B: Dopamine agonists are used to treat Parkinson's disease and would not be directly related to worsening cognitive impairment in this scenario. C: Anxiolytics are used to treat anxiety and would not directly impact cognitive impairment related to Parkinson's disease. D: Benzodiazepines are used to treat anxiety and insomnia, but they are not typically associated with worsening cognitive impairment in Parkinson's disease.
Question 4 of 5
A psychiatric nurse documents in a client's chart:"Seems to have no regard for legal or ethical standards. A problem client who needs constant limit setting." Which response by the nurse manager reflects the potential liability related to this entry?
Correct Answer: C
Rationale: The correct answer is C: "Documenting this puts you at risk for defamation of character." This is because the nurse's statement could harm the client's reputation by implying they have no regard for legal or ethical standards. Defamation of character involves making false statements that harm someone's reputation. The nurse's documentation could be seen as libel if it's in writing. A: "Documenting this breaches the client's right to confidentiality." This is incorrect because the issue is not about breaching confidentiality but rather about potentially harming the client's reputation. B: "Documenting this puts you at risk for malpractice." This is incorrect because malpractice typically involves a failure to meet the standard of care, not necessarily defamation of character. D: "Documenting this breaches the client's right to informed consent." This is incorrect as informed consent relates to the client's understanding and agreement to treatment, not to the nurse's documentation of behavior.
Question 5 of 5
Two nursing students are discussing psychiatric-mental health nursing and the role it has played in nursing's overall history. Which statement is most accurate?
Correct Answer: A
Rationale: The correct answer is A: The importance of using therapeutic communication was stressed by Nightingale. Florence Nightingale, considered the founder of modern nursing, emphasized the significance of therapeutic communication in nursing practice. Nightingale's focus was on creating an environment conducive to healing through effective communication with patients. Explanation: Nightingale's emphasis on therapeutic communication laid the foundation for psychiatric-mental health nursing. Incorrect Answers: B: The use of self-care to enhance the immune system was taught by Dorothea Dix. Dorothea Dix was a mental health advocate, not known for teaching self-care to enhance the immune system. C: The moral treatment of mental illness was a primary focus of deinstitutionalization. Deinstitutionalization aimed to shift care from mental hospitals to community-based settings, not primarily focusing on moral treatment. D: Peplau was the first nurse to stress the importance of therapeutic communication. While Peplau made significant contributions to psychiatric nursing, Night