ATI RN
Mental Health Nursing Practice Questions Questions
Question 1 of 5
Which is an example of the ego defense mechanism of regression?
Correct Answer: A
Rationale: The example provided in option A represents the ego defense mechanism of regression. In this scenario, the adult reverting to throwing a temper tantrum when not getting his way is exhibiting a behavior typically associated with children, hence regressing to a more immature response. Regression involves reverting to an earlier stage of development under stress, which can manifest as behavior more typical of a younger age group. In this case, the individual resorts to a tantrum similar to that of a child, showcasing regression as a defense mechanism to cope with the situation.
Question 2 of 5
How is the DSM-5 useful in the practice of psychiatric nursing? Select all that apply.
Correct Answer: A
Rationale: A. The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is a comprehensive guide that provides criteria for diagnosing mental health disorders. By utilizing the DSM-5, psychiatric nurses can accurately and reliably diagnose their patients, leading to appropriate treatment plans and interventions.
Question 3 of 5
According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?
Correct Answer: B
Rationale: In Peplau's theory of interpersonal relations, the nurse serving the abandoned child with parental guidance and praise following small accomplishments is operating in the role of a surrogate. A surrogate is someone who temporarily takes on the role of another person, in this case, the role of a parent, to provide emotional support, guidance, and care to meet the patient's needs in a therapeutic manner. The nurse acts as a substitute for the child's absent or unavailable parent, helping to fulfill the child's developmental and emotional needs through a therapeutic relationship. This role involves building trust, providing nurturance, and promoting the child's growth and development by offering emotional support and encouragement.
Question 4 of 5
A 1-month-old infant is left alone for extended periods, has little physical stimulation, and is malnourished. Based on this infants history, in which phase of development according to Mahlers theory should a nurse expect to see a potential deficit?
Correct Answer: A
Rationale: According to Mahler's theory of separation-individuation, the symbiotic phase occurs during the first few months of life and is characterized by the infant's dependence on the primary caregiver for physical and emotional needs. In this phase, there is a sense of oneness and unity between the infant and the caregiver, forming the basis of trust and attachment. The lack of appropriate care, physical stimulation, and proper nourishment during this crucial period can lead to deficits in the development of trust, attachment, and a sense of basic security. Therefore, in the given scenario of a 1-month-old infant being left alone for extended periods, having little physical stimulation, and being malnourished, one would expect to see potential deficits in the symbiotic phase of development according to Mahler's theory.
Question 5 of 5
A female complains that her husband only meets his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husbands actions?
Correct Answer: A
Rationale: According to Freud's psychoanalytic theory, the id is the primitive and instinctual part of the mind that operates on the pleasure principle, seeking immediate gratification of desires without consideration of consequences or the needs of others. The husband in this scenario appears to be primarily focused on meeting his own sexual needs without regard for his wife's needs or desires. This behavior aligns with the characteristics of the id, which is driven by primitive impulses and seeks instant gratification.