ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 5
When performing a comprehensive geriatric assessment of an older adult, what aspect of the client should the nursing assessment focus on?
Correct Answer: C
Rationale: The correct answer is C: functional abilities. A comprehensive geriatric assessment should focus on assessing the older adult's functional abilities to determine their ability to carry out activities of daily living independently. This is crucial in evaluating their overall health and quality of life. By assessing functional abilities, nurses can identify areas of impairment and develop appropriate interventions to maintain or improve the client's independence. Physical signs of aging (Choice A) may provide some information about the client's health status, but focusing solely on this aspect may overlook important functional deficits. Immunological function (Choice B) is important but may not be the primary focus of a geriatric assessment unless specific health concerns are present. Chronic illness (Choice D) is also important to consider but does not encompass the holistic assessment of functional abilities needed in geriatric care.
Question 2 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 3 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 4 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.
Question 5 of 5
A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: The correct answer is A: "How do you feel about that?" This response is nonjudgmental as it focuses on exploring the patient's feelings rather than imposing the nurse's opinion. By asking about the patient's emotions, the nurse shows empathy and encourages self-reflection. Summary of why the other choices are incorrect: B: "I am glad that you realize this." - This response implies judgment by expressing personal feelings, which may make the patient feel criticized. C: "That's not a good way to behave." - This choice is judgmental and may lead to the patient feeling defensive or ashamed. D: "Have you outgrown that type of behavior?" - This response is presumptive and also implies judgment by suggesting that the behavior should have already been outgrown.