ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
Which of the following are accurate descriptors of a therapeutic community? Select all that apply.
Correct Answer: B
Rationale: - B. Unit responsibilities are assigned according to client capabilities: In a therapeutic community, tasks and responsibilities are typically assigned based on the individual's capabilities and strengths to promote growth and self-confidence. This approach encourages accountability and fosters a sense of community within the therapeutic setting.
Question 2 of 5
What is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst?
Correct Answer: C
Rationale: Holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst is important to help process feelings and concerns related to the witnessed intervention. This type of event can be traumatic and unsettling for both clients and staff involved. By allowing a safe space for individuals to express their emotions, concerns, and ask questions, the debriefing session can help address any anxiety, fear, or confusion that may have arisen from the incident. It can also help prevent any lingering negative effects on the individuals involved by validating their experiences and providing support and information as needed. This debriefing session serves as a form of psychological first aid and supports the overall emotional well-being of the clients and staff in the aftermath of a distressing event.
Question 3 of 5
How would a nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)?
Correct Answer: C
Rationale: The key difference between a client diagnosed with social phobia and a client diagnosed with schizoid personality disorder (SPD) lies in their patterns of avoiding interactions. Clients with social phobia typically avoid interactions only in social settings where they fear judgment or negative evaluation. On the other hand, clients with SPD tend to avoid interactions in all areas of life, not just limited to social settings. This fundamental difference in the scope of avoidance behavior helps nurses differentiate between the two diagnoses.
Question 4 of 5
A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority?
Correct Answer: D
Rationale: The presentation of sudden lightheadedness, tremulousness, diaphoresis, tachycardia, and dyspnea in a cab driver stuck in traffic with normal test results in an emergency department suggests a panic disorder. Panic disorder is characterized by recurrent unexpected panic attacks, leading to intense fear and discomfort. The symptoms described align with a panic attack, which can mimic physical conditions.
Question 5 of 5
A college student is unable to take a final examination because of severe test anxiety. Instead of studying, the student relieves stress by attending a movie. Which priority nursing diagnosis should a campus nurse assign for this client?
Correct Answer: C
Rationale: The nursing diagnosis of "Altered coping R/T anxiety" is the most suitable option for the college student in this scenario. The student's coping mechanism of avoiding the final examination due to severe test anxiety and choosing to attend a movie instead indicates an ineffective way of dealing with stress and anxiety. The altered coping mechanism is evident in the student's inability to face the source of anxiety (the exam) and resorting to avoidance behavior. By identifying and addressing the altered coping pattern, the nurse can help the student develop more effective coping strategies to manage and reduce anxiety in future challenging situations. Noncompliance, ineffective role performance, and powerlessness are not the primary issues in this case compared to the altered coping mechanism resulting from anxiety.