Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

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Mental Health ATI Test Bank Questions

Question 1 of 5

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer: B

Rationale: The correct answer is B because reporting consistently sad, discouraged, and hopeless mood is a key indicator of a mental illness, specifically depression. This finding suggests a persistent negative emotional state that goes beyond occasional sleeplessness and anxiety (choice A), the ability to describe differences in perceptions (choice C), or difficulty in making decisions related to job changes (choice D). The persistent nature of the mood described in choice B aligns more closely with symptoms of mental illness, indicating the need for further assessment and potential intervention.

Question 2 of 5

A nursing instructor is preparing a class lecture about cognitive behavioral therapy (CBT). Which of the following would the instructor use to best describe this process?

Correct Answer: D

Rationale: The correct answer is D because cognitive behavioral therapy (CBT) focuses on helping patients change their thoughts and behaviors to improve their mental health. In CBT, patients work collaboratively with the therapist to identify and challenge negative thought patterns and behaviors. By changing these cognitive distortions and maladaptive behaviors, patients can improve their emotional well-being. Choice A is incorrect because CBT is not about solving patients' problems for them, but rather empowering them to solve their own issues. Choice B is incorrect as it focuses solely on behavior modification and does not address the cognitive component of CBT. Choice C is incorrect because CBT aims to challenge and change distorted beliefs rather than reinforcing them.

Question 3 of 5

The following are important legislative and policy efforts influencing current mental health care. Which of the following is the most recent?

Correct Answer: A

Rationale: The correct answer is A: Mental Health: A Report of the Surgeon General, as it was published in 1999, making it the most recent compared to the other choices. The Surgeon General's report highlighted the importance of mental health and influenced policy changes. Explanation: 1. A is the most recent among the choices. 2. Published in 1999, addressing current mental health issues. 3. Emphasized the significance of mental health in policy-making. 4. Influenced subsequent legislative and policy efforts. Summary: B: New Freedom Commission on Mental Health was established in 2002, making it less recent. C: Action for Mental Health was published in 1961, making it the oldest choice. D: Mental Retardation Facilities and Community Mental Health Centers Construction Act was passed in 1963, predating the Surgeon General's report.

Question 4 of 5

Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:

Correct Answer: C

Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns. Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect. Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns. Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.

Question 5 of 5

A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?

Correct Answer: A

Rationale: The correct answer is A: Going away to college. A developmental crisis is a normal life event that occurs as a person progresses through the stages of life. Going away to college is a typical developmental milestone that can cause stress and require adaptation. This type of crisis is expected and can lead to personal growth and development. Choice B, obtaining a job promotion, is not a developmental crisis as it is not a typical life event associated with a specific stage of life. Choice C, loss of a pet, is considered a situational crisis rather than a developmental crisis. Choice D, earthquake, is classified as a traumatic crisis caused by a sudden and unexpected event, which is not related to personal growth or normal life transitions.

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