ATI RN
Mental Health And Mental Illness Practice Questions Questions
Question 1 of 9
Which intervention doesn't focus on children supporting the Healthy People 2020 goals related to injury and violence prevention?
Correct Answer: C
Rationale: The correct answer is C because holding a focus group discussion about why students bring weapons to school doesn't directly address injury and violence prevention goals of Healthy People 2020. The other choices focus on early identification of risk factors, promoting a safe environment, and community engagement which align with the goals. Holding a focus group may provide insights but doesn't directly address prevention strategies.
Question 2 of 9
A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?
Correct Answer: D
Rationale: The correct answer is D: Risk-taking behavior. Impulsiveness is a key characteristic of ADHD, and risk-taking behavior is a clear manifestation of impulsiveness in children with ADHD. Children displaying risk-taking behavior often act without considering consequences or engaging in dangerous activities. In contrast, choices A, B, and C are more indicative of hyperactivity and inattention rather than impulsiveness. Inability to wait his turn (A) is related to impulse control, restlessness (B) is associated with hyperactivity, and difficulty completing a task (C) is linked to inattention. Therefore, choice D is the most appropriate reflection of impulsiveness in a child with ADHD.
Question 3 of 9
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.
Question 4 of 9
The nurse is determining the success of a patient's plan of care by evaluating outcome indicators. The nurse understands that these indicators are usually determined initially at which time?
Correct Answer: B
Rationale: The correct answer is B: During the assessment process. This is because outcome indicators are used to measure the effectiveness of the care plan and are typically established during the assessment phase to provide a baseline for comparison. By evaluating outcome indicators during the assessment process, the nurse can track progress, adjust interventions if needed, and ensure the patient's goals are being met. A: On the day of discharge - This is incorrect because outcome indicators are typically determined before discharge to assess the overall success of the care plan. C: At the initial interview - This is incorrect as outcome indicators are more closely related to the assessment process and ongoing evaluation. D: With goal-setting process - This is incorrect because while outcome indicators are used to measure goal achievement, they are typically determined during the assessment to establish a starting point.
Question 5 of 9
Culture-specific syndromes may occur in individuals who are especially vulnerable to stressful life events. Which culture-specific syndrome would be an example of"falling out"?
Correct Answer: B
Rationale: The correct answer is B because "falling out" is a culture-specific syndrome known as "ataque de nervios" commonly found in Latin American cultures. This syndrome is characterized by sudden collapse, uncontrollable crying, trembling, and loss of vision despite the eyes being open. The other choices describe different culture-specific syndromes but do not match the specific symptoms associated with "falling out." Choice A describes a syndrome induced by witches, Choice C describes illness caused by hexing and witchcraft, and Choice D describes illness caused by a fixed stare, none of which align with the symptoms of "falling out."
Question 6 of 9
The nurse is reviewing a client's medical record and finds that he has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care?
Correct Answer: A
Rationale: The correct answer is A: Category I. In the Quadrant Model of Integrated Healthcare, Category I refers to the treatment of co-occurring disorders in the primary care setting. This means that the client is receiving integrated care for both physical and mental health conditions in one location, promoting holistic and comprehensive treatment. Choices B, C, and D do not align with the specific scenario described and represent different levels or types of care in the Quadrant Model.
Question 7 of 9
An adult says, 'I never know the answers,' and 'My opinion does not count.' Which psychosocial crisis was unsuccessfully resolved for this adult?
Correct Answer: C
Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage. A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements. B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues. D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.
Question 8 of 9
A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
Correct Answer: D
Rationale: The correct answer is D, "We can pray together if you'd like." This is the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's faith, offers emotional support, and fosters a connection between the nurse and the patient. It shows empathy and understanding of the patient's spiritual needs during a challenging time. Explanation for why the other choices are incorrect: A: Taking the patient to visit the nurse's church may not align with the patient's faith and may not be comfortable for the patient. B: Requiring the patient to belong to the same church as the nurse to go to heaven is imposing the nurse's beliefs on the patient, which is inappropriate. C: Offering guided imagery may be helpful for relaxation, but it does not directly address the patient's spiritual needs or provide the emotional support that praying together can offer.
Question 9 of 9
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.