Questions 9

ATI RN

ATI RN Test Bank

Psychiatric Nurse Practitioner Exam Questions Questions

Question 1 of 5

When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which of the following would the instructor address as a major concept?

Correct Answer: A

Rationale: The correct answer is A: Interpersonal relations. Harry Stack Sullivan emphasized the importance of interpersonal relationships in shaping an individual's mental health. He focused on how interactions with others influence one's thoughts, feelings, and behaviors. Sullivan's interpersonal theory highlights the significance of social connections in understanding and treating mental health issues. Choice B: Harmony between the individual and society is not a major concept associated with Sullivan's work. While he did consider the impact of societal factors on mental health, his primary focus was on interpersonal dynamics. Choice C: Collective unconscious is a concept from Jungian psychology, not Sullivan. Sullivan's theory was more focused on individual experiences and relationships. Choice D: Unconditional positive regard is a concept from Carl Rogers' person-centered therapy, not Sullivan. While positive regard is important in therapeutic relationships, it is not a central concept in Sullivan's interpersonal theory.

Question 2 of 5

A nurse working on the psychiatric unit receives a telephone call from the employer of one of the patients on the unit. The employer asks to be sent a copy of Mr. Murray’s latest laboratory work and psychological testing results so Mr. Murray’s medical records in employee health can be kept up to date. Based on the nurse’s knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?

Correct Answer: B

Rationale: The correct answer is B: `I’ll have to get the patient’s signed consent before we can send that information to you. This response is appropriate as it upholds the patient's confidentiality rights as per HIPAA regulations. By obtaining the patient's signed consent, the nurse ensures that Mr. Murray's privacy is protected and that information is not disclosed without authorization. Choice A is incorrect because it is a direct violation of patient confidentiality without obtaining proper consent. Choice C is incorrect as it does not address the request and does not protect patient privacy. Choice D is incorrect as it also discloses patient information without consent, violating confidentiality laws.

Question 3 of 5

During an assessment, the patient states, `We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.​ The nurse interprets this as indicating which of the following? 10

Correct Answer: B

Rationale: The correct answer is B: Cultural identity. The patient's statement reflects their cultural beliefs, values, and practices related to family support and respect for elders, indicating a strong sense of cultural identity. This choice best captures the patient's deep connection to their cultural heritage and traditions. Choice A, Acculturation, refers to the process of adapting to a new culture, which is not evident in the patient's statement. Choice C, Cultural competence, relates to the ability to effectively work with individuals from diverse cultures, which is not explicitly demonstrated by the patient's statement. Choice D, Linguistic competence, pertains to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.

Question 4 of 5

A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?

Correct Answer: C

Rationale: The correct answer is C (Axis III). Axis III in the DSM-IV-TR is used to list any medical conditions that may be relevant to the individual's psychological presentation. In this case, the woman's diabetes would be listed under Axis III because it is a medical condition that can impact her mental health. Axis I is for clinical disorders, Axis II is for personality disorders, and Axis IV is for psychosocial and environmental stressors. Therefore, the correct placement for diabetes in this scenario is on Axis III to highlight its significance in the overall assessment and treatment plan.

Question 5 of 5

When describing the influence of Harry Stack Sullivan on psychiatric-mental health nursing, which of the following would the instructor address as a major concept?

Correct Answer: A

Rationale: The correct answer is A: Interpersonal relations. Harry Stack Sullivan emphasized the importance of interpersonal relationships in shaping an individual's mental health. He focused on how interactions with others influence one's thoughts, feelings, and behaviors. Sullivan's interpersonal theory highlights the significance of social connections in understanding and treating mental health issues. Choice B: Harmony between the individual and society is not a major concept associated with Sullivan's work. While he did consider the impact of societal factors on mental health, his primary focus was on interpersonal dynamics. Choice C: Collective unconscious is a concept from Jungian psychology, not Sullivan. Sullivan's theory was more focused on individual experiences and relationships. Choice D: Unconditional positive regard is a concept from Carl Rogers' person-centered therapy, not Sullivan. While positive regard is important in therapeutic relationships, it is not a central concept in Sullivan's interpersonal theory.

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