ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 5
What is the primary reason the nurse should include the family of a patient with a serious mental illness in treatment planning?
Correct Answer: C
Rationale: The correct answer is C because family members are often the primary support system for individuals with serious mental illness. In treatment planning, involving the family can provide crucial insights into the patient's social and emotional needs, enhance communication between the patient and healthcare providers, and increase the likelihood of treatment adherence. Family support can also help in crisis situations and promote better outcomes for the patient. Choice A is incorrect because while family members may have valuable insights, they may not always know the patient's struggles comprehensively. Choice B is incorrect as willingness to listen is not a guarantee, especially in cases where mental illness may affect the patient's judgment. Choice D is incorrect as the patient may not always turn to family first, especially if the relationship is strained or if the family is not supportive.
Question 2 of 5
A client of the local mental health clinic arrives for their appointment out of breath, hair a mess, and clothing askew. The receptionist tells the client, "You are fifteen minutes late. I will have to see if the doctor can still see you." The client responds, " know I am late. I can explain, my mother-in-law had a bad night. She lives with my husband and me. I am just so tired of taking care of her." This example falls under what category of risk factors?
Correct Answer: C
Rationale: The correct answer is C: social factors. The client's situation of being late due to caring for their mother-in-law highlights social factors as a risk factor. Social factors encompass relationships, support systems, living conditions, and societal influences. In this scenario, the client's caregiving responsibilities for their mother-in-law contribute to their stress and impact their ability to arrive on time. This situation reflects the influence of social dynamics on the client's behavior and well-being. Incorrect options: A: Genetic comorbidities are not relevant in this scenario as the client's late arrival is not attributed to any genetic factors. B: Psychological factors may play a role in the client's stress related to caregiving, but the primary issue here is the social factor of caregiving responsibilities. D: Victimization does not apply as the client is not being victimized in this situation; rather, they are experiencing stress due to caregiving responsibilities.
Question 3 of 5
A client diagnosed with bipolar disorder has a nursing diagnosis of sleep pattern disturbance. Which intervention should the nurse implement initially?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Assessing normal sleep patterns is the initial step to understand the client's current sleep habits and identify specific disturbances in their sleep pattern. This assessment is crucial for developing an individualized care plan tailored to the client's needs. By gathering information on the client's sleep patterns, the nurse can effectively determine the underlying causes of the disturbance and implement appropriate interventions. This proactive approach ensures that interventions are evidence-based and address the client's unique situation. Summary of other choices: B: Discouraging napping during the day may be relevant but should come after assessing the client's sleep patterns to determine if daytime napping is contributing to the disturbance. C: Discouraging the use of caffeine and nicotine is important, but this intervention should be based on the assessment findings and individual client factors. D: Teaching relaxation exercises can be beneficial, but without understanding the client's specific sleep patterns and needs, it may not address the root cause of the sleep pattern disturbance.
Question 4 of 5
In which situation does a health-care worker have a duty to warn a potential victim?
Correct Answer: D
Rationale: The correct answer is D because when a client makes specific threats toward an identifiable person, there is a duty to warn the potential victim to prevent harm. This duty is based on the principle of duty to protect, which overrides confidentiality in cases of imminent danger. Choices A, B, and C do not necessarily involve direct threats toward a specific individual, so the duty to warn does not apply in those situations. It is important to prioritize the safety of potential victims when making decisions regarding confidentiality and duty to warn.
Question 5 of 5
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient
Correct Answer: D
Rationale: The correct answer is D because the patient is experiencing command auditory hallucinations that pose an imminent threat to themselves or others. This is indicative of acute psychosis requiring immediate psychiatric intervention. Choice A is experiencing common emotional distress and can be managed on an outpatient basis. Choice B has self-inflicted minor harm but does not present an immediate danger. Choice C is likely experiencing side effects of medication and can be managed without urgent inpatient care. In summary, only choice D presents a clear and immediate risk that necessitates admission to the psychiatric unit.