ATI RN
Mental Health Nursing Practice Questions Quizlet Questions
Question 1 of 9
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and empathy by summarizing the patient's statement. This statement shows the nurse's attempt to understand the patient's perspective on life's meaning. Choice A is about the nurse's own thought process, not reflecting the patient's feelings. Choice C shows uncertainty, not reflective listening. Choice D is an observation, not reflective of the patient's emotions or thoughts.
Question 2 of 9
A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
Correct Answer: A
Rationale: The correct answer is A: "How do you feel about that?" This response is nonjudgmental as it focuses on exploring the patient's feelings rather than imposing the nurse's opinion. By asking about the patient's emotions, the nurse shows empathy and encourages self-reflection. Summary of why the other choices are incorrect: B: "I am glad that you realize this." - This response implies judgment by expressing personal feelings, which may make the patient feel criticized. C: "That's not a good way to behave." - This choice is judgmental and may lead to the patient feeling defensive or ashamed. D: "Have you outgrown that type of behavior?" - This response is presumptive and also implies judgment by suggesting that the behavior should have already been outgrown.
Question 3 of 9
A nurse is caring for a psychiatric patient who is receiving an antacid that contains aluminum salts. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Administer the antacid 1 hour after the antipsychotic medication. Aluminum salts can reduce the absorption of certain medications, including antipsychotics. Giving the antacid 1 hour after the antipsychotic medication allows for adequate absorption of the antipsychotic while still providing relief from gastric symptoms. Option A would not be ideal as it may interfere with the absorption of the antipsychotic. Option B could potentially decrease the effectiveness of the antipsychotic by reducing its absorption. Option D is not recommended as aluminum salts can cause reflux when lying down, potentially worsening the patient's symptoms.
Question 4 of 9
A client of the local mental health clinic arrives for their appointment out of breath, hair a mess, and clothing askew. The receptionist tells the client, "You are fifteen minutes late. I will have to see if the doctor can still see you." The client responds, " know I am late. I can explain, my mother-in-law had a bad night. She lives with my husband and me. I am just so tired of taking care of her." This example falls under what category of risk factors?
Correct Answer: C
Rationale: The correct answer is C: social factors. The client's situation of being late due to caring for their mother-in-law highlights social factors as a risk factor. Social factors encompass relationships, support systems, living conditions, and societal influences. In this scenario, the client's caregiving responsibilities for their mother-in-law contribute to their stress and impact their ability to arrive on time. This situation reflects the influence of social dynamics on the client's behavior and well-being. Incorrect options: A: Genetic comorbidities are not relevant in this scenario as the client's late arrival is not attributed to any genetic factors. B: Psychological factors may play a role in the client's stress related to caregiving, but the primary issue here is the social factor of caregiving responsibilities. D: Victimization does not apply as the client is not being victimized in this situation; rather, they are experiencing stress due to caregiving responsibilities.
Question 5 of 9
The nurse is caring for a group of patients in a partial hospitalization program. The nurse would most likely be involved in which of the following activities?
Correct Answer: C
Rationale: The correct answer is C because in a partial hospitalization program, the nurse's role often includes teaching patients practical skills to support their daily living. Teaching patients how to plan a menu and shop for groceries is important for promoting healthy eating habits and overall wellness. This activity directly aligns with the goal of a partial hospitalization program, which is to help patients develop skills to function independently. Choice A is incorrect because facilitating a drug abuse prevention group is more likely to be part of a substance abuse program, not a partial hospitalization program. Choice B is incorrect because providing spiritual assessment and interventions is typically the role of a spiritual care provider or counselor, not a nurse in a partial hospitalization program. Choice D is incorrect because providing an educational group about the nutritional content of canned foods is not directly related to teaching patients practical skills for daily living, which is the focus of a partial hospitalization program.
Question 6 of 9
A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. The patient is
Correct Answer: D
Rationale: The correct answer is D because the patient's behavior of being tense, vigilant, pacing, clenching fists, and staring can be indicative of potential aggression. This behavior shows signs of escalating agitation and aggression, which should be addressed promptly for safety. A: Withdrawal typically involves avoiding social interactions and showing disinterest, which does not align with the patient's behavior. B: Working through angry feelings would involve more introspective or expressive behaviors, not outward signs of potential aggression. C: Relaxation strategies would involve more calming and self-soothing behaviors, which are not exhibited by the patient in this scenario.
Question 7 of 9
The nurse is assessing a client who has a history of heavy drinking and who lost his wife to cancer during the previous year. He reports that he isn't getting as much sleep as he used to when he was younger. Which question would be most appropriate to ask the client to determine if the change in his sleep pattern is related to normal aging or depression?
Correct Answer: B
Rationale: The correct answer is B: "Is it hard for you to fall asleep or remain asleep during the night?" This question is most appropriate because it directly addresses the client's current sleep issues and can provide insights into whether he is experiencing symptoms of depression, such as insomnia or disrupted sleep patterns. By focusing on the client's sleep difficulties, the nurse can better assess if the changes are related to normal aging or if they are indicative of an underlying mood disorder like depression. Choice A is incorrect as it does not address the client's current sleep problems. Choice C is not relevant to the client's sleep patterns and focuses on alcohol consumption. Choice D is also irrelevant to the client's sleep issues and does not directly assess potential depressive symptoms.
Question 8 of 9
A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C. REM sleep and body temperature cycles are inversely related. During REM sleep, our body temperature decreases, which is essential for the body to conserve energy and maintain a state of relaxation. This decrease in body temperature during REM sleep helps promote the restoration and rejuvenation of the body. It is crucial for the nurse to convey this information accurately to the community group to emphasize the importance of quality sleep for overall health. Choice A is incorrect because there is indeed an observable relationship between REM sleep and body temperature. Choice B is incorrect as higher levels of REM sleep are associated with lower body temperatures, not higher. Choice D is incorrect as the experience of REM sleep is not directly proportional to a rise in body temperature; instead, it is inversely related.
Question 9 of 9
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and empathy by summarizing the patient's statement. This statement shows the nurse's attempt to understand the patient's perspective on life's meaning. Choice A is about the nurse's own thought process, not reflecting the patient's feelings. Choice C shows uncertainty, not reflective listening. Choice D is an observation, not reflective of the patient's emotions or thoughts.