ATI RN
Mental Health Final ATI Questions
Question 1 of 5
Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient? The patient
Correct Answer: A
Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands indicates a positive self-perception and mental strength, aligning with the goal of demonstrating mentally healthy behavior. Choice B is incorrect as it describes impulsive behavior, which is not indicative of mental health. Choice C suggests aggressive and selfish behavior, which goes against mental health principles. Choice D, seeking help when needed, is important but does not directly demonstrate the achievement of mentally healthy behavior like choice A does.
Question 2 of 5
The nurse is caring for four clients who are simultaneously being treated for chronic medical conditions and psychiatric conditions. Which client would the nurse anticipate as being most resistive to taking medications for both conditions?
Correct Answer: C
Rationale: The correct answer is C because the client who is convinced he is the president's twin brother may be experiencing delusions, a symptom of a psychiatric condition that could lead to resistance in taking medications. Delusions can alter one's perception of reality, making it challenging for the client to recognize the necessity of medications. A, B, and D do not demonstrate the same level of potential resistance to medication. A client exhibiting push of speech (A) may still understand the need for medication. Difficulty sleeping (B) is a common symptom that can be addressed with appropriate medication. Inability to establish eye contact (D) may indicate social difficulties but does not necessarily correlate with resistance to medication.
Question 3 of 5
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, 'When should I take the medication?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Take it about ½ to 2 hours before you have sexual activity." This is the most appropriate response because sildenafil takes about 30 minutes to 1 hour to start working, with peak effectiveness around 1 to 2 hours after ingestion. Taking it too early or too late can affect its efficacy. Choice A is incorrect as timing should be based on sexual activity, not just morning routine. Choice C is incorrect as 5 minutes is too short for sildenafil to take effect. Choice D is incorrect as taking it at night may not align with the intended purpose of improving erectile function during sexual activity.
Question 4 of 5
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which of the following about the drug?
Correct Answer: C
Rationale: The correct answer is C: Reduces the appeal of alcohol. Naltrexone is an opioid antagonist that works by blocking the euphoric effects of alcohol, reducing cravings, and decreasing the desire to drink. By choosing this answer, the client demonstrates an understanding of naltrexone's mechanism of action in treating alcohol dependence. A: Causes itching if alcohol is consumed - This statement is incorrect. Naltrexone does not cause itching if alcohol is consumed. It works by blocking opioid receptors, not by producing physical side effects like itching. B: Produces the euphoria of alcohol - This statement is incorrect. Naltrexone actually blocks the euphoric effects of alcohol, making it less appealing and reducing the desire to drink. D: Improves appetite and nutritional status - This statement is incorrect. Naltrexone does not directly affect appetite or nutritional status. Its primary purpose is to help with alcohol dependence by reducing cravings and the pleasure associated with drinking.
Question 5 of 5
As part of a career day presentation to a group of nursing students, a psychiatric-mental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses?
Correct Answer: B
Rationale: The correct answer is B: Hildegarde Peplau. She is considered the mother of psychiatric nursing and played a major role in developing specialty training programs for psychiatric nurses. Peplau's interpersonal theory of nursing emphasized the importance of the nurse-patient relationship in mental health care, leading to the integration of psychological principles into nursing practice. Nutting (A) was a nursing education pioneer, Bailey (C) was known for her work in public health nursing, and Richards (D) was the first trained nurse in the US, but they did not have the same impact on psychiatric nursing training as Peplau.