ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
What is the best rationale for including the clients family in therapy within the inpatient milieu?
Correct Answer: B
Rationale: Including the client's family in therapy within the inpatient milieu can greatly facilitate discharge from the hospital. Involving the family in therapy allows for a better understanding of the client's support system, dynamics, and potential challenges they may face after leaving the hospital. This collaboration between the client, family, and treatment team can help create a more robust and effective discharge plan tailored to the client's specific needs and circumstances. By preparing the family to provide ongoing support and assistance post-discharge, the likelihood of successful transition and continued progress is increased.
Question 2 of 5
After threatening to jump off a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
Correct Answer: A
Rationale: The nurse should first ask, "Are you currently thinking about harming yourself?" This question directly assesses the client's current suicidal ideation and immediate risk. It is crucial to determine the level of risk for self-harm before delving into reasons or consequences, as the client's safety is the top priority. By addressing the current thoughts of self-harm, the nurse can decide on appropriate interventions and ensure the client's safety.
Question 3 of 5
What is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst?
Correct Answer: C
Rationale: Holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst is important to help process feelings and concerns related to the witnessed intervention. This type of event can be traumatic and unsettling for both clients and staff involved. By allowing a safe space for individuals to express their emotions, concerns, and ask questions, the debriefing session can help address any anxiety, fear, or confusion that may have arisen from the incident. It can also help prevent any lingering negative effects on the individuals involved by validating their experiences and providing support and information as needed. This debriefing session serves as a form of psychological first aid and supports the overall emotional well-being of the clients and staff in the aftermath of a distressing event.
Question 4 of 5
How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)?
Correct Answer: C
Rationale: The key difference between a client diagnosed with social phobia and a client diagnosed with schizoid personality disorder (SPD) lies in their patterns of avoiding interactions. Clients with social phobia typically avoid interactions only in social settings where they fear judgment or negative evaluation. On the other hand, clients with SPD tend to avoid interactions in all areas of life, not just limited to social settings. This fundamental difference in the scope of avoidance behavior helps nurses differentiate between the two diagnoses.
Question 5 of 5
A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
Correct Answer: D
Rationale: The presentation of sudden lightheadedness, tremulousness, diaphoresis, tachycardia, and dyspnea in a cab driver stuck in traffic with normal test results in an emergency department suggests a panic disorder. Panic disorder is characterized by recurrent unexpected panic attacks, leading to intense fear and discomfort. The symptoms described align with a panic attack, which can mimic physical conditions.