ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
What is a true statement regarding the treatment of personality disorders?
Correct Answer: D
Rationale: The correct answer is D because psychotherapy is a key treatment for personality disorders, including cluster A disorders like schizoid or paranoid personality disorder. While medications may help manage symptoms, they do not treat the core issues. Option A is incorrect because personality disorders are deeply ingrained and not typically cured. Option B is incorrect as DBT primarily targets emotion regulation in borderline personality disorder. Option C is incorrect as medications are not considered primary treatment for personality disorders.
Question 2 of 5
The nurse is interviewing a client admitted to an inpatient psychiatric unit with a diagnosis of depressive disorder. Which is the primary goal in the assessment phase of the nursing process for this client?
Correct Answer: C
Rationale: Step 1: Assessment is the first phase of the nursing process. Step 2: Collecting and organizing information is crucial to understand the client's current situation. Step 3: By collecting data, the nurse can identify the client's needs and create an individualized care plan. Step 4: Building trust and rapport (Choice A) is important but is more focused on the therapeutic relationship, which is part of the implementation phase. Step 5: Identifying goals and outcomes (Choice B) is part of the planning phase. Step 6: Identifying and validating the medical diagnosis (Choice D) is the responsibility of the healthcare provider and is not the primary goal of the nursing assessment.
Question 3 of 5
The nurse helps a client practice various techniques of assertive communication by giving positive feedback for improvement of passive-aggressive interactions. This intervention would occur in which phase of the nurse-client relationship?
Correct Answer: C
Rationale: In the working phase of the nurse-client relationship, the focus is on implementing interventions to address the client's issues. In this scenario, the nurse is actively helping the client practice assertive communication techniques and providing positive feedback for improvement. This phase involves collaboration and active problem-solving to achieve therapeutic goals. A: Pre-interaction phase is about gathering information before meeting the client. B: Orientation phase is about establishing rapport and setting goals. D: Termination phase is about summarizing progress and preparing for closure. Therefore, the correct answer is C because it aligns with the active intervention and problem-solving nature of the working phase.
Question 4 of 5
Which determines the scope of practice for a registered nurse employed in a psychiatric inpatient facility?
Correct Answer: B
Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.
Question 5 of 5
On an inpatient locked psychiatric unit, a newly admitted client requests to leave against medical advice (AMA). What should be the initial nursing action for this client?
Correct Answer: B
Rationale: The correct initial nursing action for a client wanting to leave against medical advice from an inpatient locked psychiatric unit is to check the client's admission status and discuss the reasons for wanting to leave (Choice B). This approach allows the nurse to assess the client's mental status, risk factors, and reasons for wanting to leave, which are essential for providing appropriate care and interventions. By understanding the client's perspective and concerns, the nurse can work collaboratively with the client to address underlying issues and potentially prevent harm. Choices A, C, and D are incorrect because they do not prioritize understanding the client's reasons for wanting to leave or assessing the client's mental status and risk factors. Choice A dismisses the client's request without exploring the underlying issues. Choice C focuses on punitive measures rather than therapeutic communication. Choice D, placing the client on one-on-one observation, does not address the client's concerns or reasons for wanting to leave.