ATI RN
Concepts of Family Health Care Questions
Question 1 of 5
Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?
Correct Answer: C
Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs. Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.
Question 2 of 5
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?
Correct Answer: B
Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians. Incorrect choices: A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings. C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education. D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.
Question 3 of 5
What is the long-term benefit of successfully implementing a constructive coping mechanism?
Correct Answer: D
Rationale: The correct answer is D because successfully implementing a constructive coping mechanism reinforces confidence in managing stress in the future. It helps individuals develop resilience and adaptability, leading to better stress management skills. Choice A is incorrect as stressors can still impact individuals, but they are better equipped to handle them. Choice B is incorrect because avoiding stressors doesn't address the root cause of stress. Choice C is incorrect as stress can still pose challenges, but individuals can navigate them effectively with coping strategies.
Question 4 of 5
The mental health nurse is about to conduct an admissions interview with an older adult being admitted for depression. Which action demonstrates an understanding of the appropriate integration of the mental health status examination into an assessment interview?
Correct Answer: D
Rationale: The correct answer is D because integrating mental health questions among general assessment questions allows for a holistic understanding of the client's overall health. By including mental health questions throughout the interview, the nurse can gather information in a more natural and comprehensive manner. This approach helps in establishing a rapport with the client and avoids stigmatizing mental health issues. Conducting the interview in a quiet, private location (choice A) is important for confidentiality but does not specifically address the integration of mental health questions. Informing the client about the mental health assessment (choice B) is essential for informed consent but does not address the integration aspect. Asking mental health questions at the beginning of the interview (choice C) may disrupt the flow and rapport-building process. Thus, choice D is the most appropriate for a comprehensive assessment.
Question 5 of 5
The nurse is managing the care of a client who recently lost his job and is diagnosed with mild situational depression. During the assessment interview, the client volunteered that he stopped attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education has not become a risk factor to his mental health when he:
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Reflecting on his problem and formulating a realistic plan to find another job shows the client's ability to cope and problem-solve, indicating resilience. 2. This demonstrates that the client is actively engaging in positive behaviors to address his situation, which is crucial in managing situational depression. 3. By formulating a plan, the client shows motivation and initiative, which are essential in overcoming challenges. 4. Options A, C, and D do not directly address the client's situation of job loss and his need to find employment, making them less relevant in this context.