ATI RN
Mental Health ATI Book Questions
Question 1 of 9
Which patient statement does not demonstrate an understanding of a suicide safety plan?
Correct Answer: A
Rationale: The correct answer is A because it shows a lack of understanding of a suicide safety plan. This statement indicates an awareness of triggers but does not demonstrate any coping strategies or steps to prevent suicide. In contrast, choices B, C, and D all show elements of a safety plan - engaging in physical activity, relying on a supportive individual, and carrying a suicide prevention resource. In summary, A does not include any proactive measures to address suicidal thoughts compared to B, C, and D.
Question 2 of 9
Which is an example of appropriate psychosexual development?
Correct Answer: A
Rationale: The correct answer is A because according to Freud's psychosexual development theory, the oral stage occurs from birth to 18 months. During this stage, infants derive pleasure from sucking and biting, hence using a pacifier to relieve anxiety is a normal behavior. Choices B, C, and D are incorrect because they describe behaviors that are not developmentally appropriate for the respective age groups according to Freud's theory. Choice B refers to the latency stage (6 to puberty), choice C suggests the phallic stage (3 to 6 years), and choice D indicates the anal stage (18 months to 3 years).
Question 3 of 9
A nurse is working with a client who is addicted to heroin. The nurse engages in harm reduction by teaching the client about which of the following?
Correct Answer: A
Rationale: The correct answer is A: Using bleach solution to disinfect dirty needles. This is an important harm reduction strategy for individuals addicted to heroin as it helps reduce the risk of infections such as HIV and hepatitis. It is crucial for the nurse to educate the client on safe needle hygiene practices to prevent further health complications. Choices B, C, and D are incorrect as problem solving, healthy coping skills, and naltrexone are not directly related to harm reduction strategies specifically for heroin addiction.
Question 4 of 9
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
Correct Answer: A
Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is primarily used to standardize the classification of mental disorders for diagnosis and treatment planning in clinical practice. It helps clinicians communicate effectively by providing a common language and set of criteria for diagnosing mental health conditions. Choice B is incorrect because the DSM-IV-TR focuses on classification rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not focus on identifying etiologies based on family histories but rather on symptom criteria and patterns. Choice D is incorrect as the DSM-IV-TR does not provide specific optimal treatment outcomes but rather aids in accurate diagnosis and classification.
Question 5 of 9
A group of nursing students is reviewing the history of the development of cognitive therapies over the years. The students demonstrate understanding of the information when they identify which individual as being responsible for first developing cognitive therapy interventions?
Correct Answer: C
Rationale: The correct answer is C: Albert Ellis. Albert Ellis is credited with being the first to develop cognitive therapy interventions through his creation of Rational Emotive Behavior Therapy (REBT). He emphasized the role of irrational beliefs and how they contribute to emotional distress. Freud (B) is known for psychoanalysis, not cognitive therapy. Aaron Beck (A) is known for developing Cognitive Therapy, a form of cognitive-behavioral therapy. De Shazer and Berg (D) are associated with solution-focused brief therapy, not cognitive therapy. Therefore, choice C is correct as Albert Ellis pioneered cognitive therapy with his development of REBT.
Question 6 of 9
A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?
Correct Answer: B
Rationale: The correct answer is B because it accurately distinguishes between bereavement and grief. Bereavement refers to the process of mourning, while grief refers to the emotional reaction to loss. This understanding shows comprehension of the concepts involved in coping with loss. Choice A is incorrect because grief and bereavement are not used interchangeably; they represent different aspects of the loss experience. Choice C is incorrect as grief and bereavement both involve confronting the stress and emotions related to loss. Choice D is incorrect as both bereavement and grief can be influenced by culture.
Question 7 of 9
The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Ineffective Health Maintenance related to homelessness. This is the priority nursing diagnosis because the client's foot infection needs immediate attention to prevent complications. Ineffective Health Maintenance addresses the client's inability to manage health and seek medical care, which is crucial in this case. A: Social Isolation is not the priority as the client is receiving regular care and interaction in the mobile clinic. C: Chronic Low Self-Esteem may be a concern but is not as urgent as addressing the foot infection. D: Imbalanced Nutrition is not directly related to the client's current issue of a foot infection.
Question 8 of 9
Which factor has the greatest influence on the hospice nurse's ability to provide respectful professional care?
Correct Answer: A
Rationale: The correct answer is A: Acceptance that death is a natural part of life. This factor is crucial for hospice nurses as it enables them to approach end-of-life care with compassion and understanding. By accepting death as a natural process, the nurse can provide respectful care without fear or denial. Possessing excellent nursing skills (B) is important but not as impactful as having the right mindset towards death. A healthy personal life (C) can contribute to overall well-being but may not directly impact the nurse's ability to provide respectful care. While the desire to work with both the patient and family (D) is important, it is the acceptance of death that underpins the nurse's ability to provide professional care in the hospice setting.
Question 9 of 9
A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Lower the patient's current anxiety. This is the first step because a patient experiencing severe anxiety may not be able to focus on learning coping strategies until their anxiety is reduced. It is essential to address the immediate issue of anxiety to create a conducive environment for learning. Incorrect choices: A: Verify the patient's learning style - While understanding the patient's learning style is important, it is not the priority when the patient is in a state of severe anxiety. C: Create outcomes and a teaching plan - Developing outcomes and a teaching plan should come after addressing the immediate anxiety to ensure the patient can engage effectively in the learning process. D: Assess how the patient uses defense mechanisms - While understanding defense mechanisms is relevant, it is not the primary concern when the patient is in a state of severe anxiety.