ATI RN
Nursing Mental Health Practice Questions Questions
Question 1 of 5
Which is the goal of the cognitive-behavioral theory model according to Beck and Ellis?
Correct Answer: B
Rationale: The correct answer is B because the goal of the cognitive-behavioral theory model according to Beck and Ellis is to substitute rational beliefs for irrational ones and eliminate self-defeating behaviors. This approach focuses on identifying and challenging negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. By replacing irrational beliefs with rational ones, individuals can improve their mental health and overall well-being. A: Developing satisfactory relationships, maturity, and freedom from anxiety is more aligned with a humanistic or social learning theory perspective, not specifically cognitive-behavioral theory. C: Facing reality and developing standards for behaving responsibly is important but not the primary goal of cognitive-behavioral therapy. D: Reducing bodily tensions and managing stress through biofeedback and relaxation training is more related to relaxation techniques and stress management, not the core focus of cognitive-behavioral therapy.
Question 2 of 5
Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
Correct Answer: D
Rationale: The correct answer is D: Assessment findings in mental illness reflect a person's cultural patterns. This belief supports patient advocacy by recognizing the influence of culture on mental health. Step 1: Understanding cultural patterns helps nurses provide individualized care. Step 2: Cultural considerations impact assessment accuracy and treatment effectiveness. Step 3: Advocating for patients requires recognizing and respecting cultural differences in mental health. Other choices are incorrect because they oversimplify cultural influences on mental illness or make unsubstantiated claims about cross-cultural disorders.
Question 3 of 5
A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
Correct Answer: C
Rationale: Rationale: 1. Implementation involves carrying out the plan of care. 2. Encouraging the patient to attend a group aligns with implementing the intervention. 3. Implementation focuses on executing specific interventions to achieve desired outcomes. 4. Assessment (A) is about gathering data, analysis (B) is about identifying problems, and evaluation (D) is about assessing the effectiveness of interventions.
Question 4 of 5
A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest col" The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigue Which defense mechanism is the patient using?
Correct Answer: D
Rationale: The correct answer is D: Denial. This defense mechanism involves refusing to acknowledge a stressful situation or reality. In this case, the patient is denying their serious health issues by attributing it to just a "stubborn chest cold." The patient's symptoms of smoking, daily coughing, weight loss, and fatigue indicate a more significant health concern that is being downplayed through denial. A: Displacement involves redirecting emotions from the original source to a less threatening target, not applicable here. B: Regression involves reverting to an earlier stage of development in the face of stress, not relevant to the scenario. C: Projection involves attributing one's own unacceptable thoughts or feelings to others, not demonstrated in this situation. In summary, denial is the most appropriate defense mechanism as it aligns with the patient's refusal to acknowledge the seriousness of their health issues.
Question 5 of 5
As part of a class activity, nursing students are engaged in a small group discussion about the epidemiology of mental illness. Which statement best explains the importance of epidemiology in understanding the impact of mental disorders?
Correct Answer: A
Rationale: The correct answer is A because epidemiology focuses on studying the patterns of occurrence and distribution of health-related events, including mental disorders. By analyzing factors such as prevalence, incidence, and risk factors, epidemiology helps identify trends and patterns in the occurrence of mental illnesses within populations. Understanding these patterns can lead to the development of effective prevention strategies and interventions. Choice B is incorrect because epidemiology primarily deals with population-level data and does not specifically explain neurophysiological mechanisms causing mental disorders. Choice C is incorrect as epidemiology is concerned with patterns and distribution of diseases, not theoretical explanations. Choice D is incorrect as epidemiology does not predict individual outcomes for specific clients.