ATI RN
ATI Mental Health Book Questions
Question 1 of 5
What neurotransmitter is implicated in the neurobiology of schizophrenia?
Correct Answer: B
Rationale: The correct answer is B: glutamate. Glutamate is the primary excitatory neurotransmitter in the brain and plays a crucial role in the pathophysiology of schizophrenia. Research has shown abnormalities in glutamatergic neurotransmission in individuals with schizophrenia, including NMDA receptor hypofunction. GABA (A) is an inhibitory neurotransmitter and is not directly implicated in schizophrenia. Norepinephrine (C) and acetylcholine (D) are not the primary neurotransmitters associated with schizophrenia.
Question 2 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 3 of 5
A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
Correct Answer: C
Rationale: The correct answer is C: Recreational therapist. A recreational therapist can help the patient identify and engage in meaningful leisure activities to promote socialization and community integration. This can improve the patient's quality of life and overall well-being. Rationale: 1. Psychologist (A): While a psychologist can provide therapy and support, the patient's need for socialization and community engagement would be better addressed by a recreational therapist. 2. Social worker (B): A social worker can provide resources and support, but may not have the expertise in recreational therapy to address the patient's specific needs. 3. Occupational therapist (D): While an occupational therapist can help with daily activities and routines, they may not focus specifically on leisure activities and socialization as a recreational therapist would.
Question 4 of 5
Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, ‗I enjoy spending time with you.'" Which analysis is most accurate?
Correct Answer: C
Rationale: The correct answer is C: The patient's verbal and nonverbal messages are incongruent. This is correct because the patient's statement "I enjoy spending time with you" does not align with their fidgeting, tapping foot, covering face, and looking under the chair - all signs of discomfort or unease. The incongruence between the verbal and nonverbal cues suggests a potential discrepancy between what the patient is saying and how they are truly feeling. A: The patient's behavior does not necessarily indicate positive feedback about the nurse's communication techniques. B: There is no indication of the nurse misinterpreting the patient's behavior based on cultural differences. D: There is no evidence to suggest that the patient is demonstrating psychotic behaviors based on the given information. In summary, the correct answer highlights the importance of recognizing and interpreting both verbal and nonverbal cues to gain a comprehensive understanding of a patient's communication.
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