ATI RN
Psychiatric Nursing Practice Questions Questions
Question 1 of 5
Which patient would the nurse determine to be the most likely a candidate for involuntary commitment?
Correct Answer: B
Rationale: The correct answer is B because the client screaming in the street disturbing neighbors poses a risk to themselves and others, indicating imminent danger and need for involuntary commitment for safety. Choice A, refusing medication, alone does not warrant involuntary commitment. Choice C, refusal to participate in therapy, may not indicate immediate danger. Choice D, being homeless with a mental disorder, does not automatically necessitate involuntary commitment unless there is imminent risk to self or others.
Question 2 of 5
A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. Which of the following would the instructor identify as a major challenge associated with it?
Correct Answer: A
Rationale: The correct answer is A: Maintaining confidentiality. Electronic health records in psychiatric-mental health care present challenges in protecting sensitive patient information due to potential breaches in security. This is crucial in maintaining trust and privacy between patients and healthcare providers. Choice B (Establishing educational models) is not a major challenge related to technology and EHRs. Choice C (Decreasing fragmented care) is actually a potential benefit of technology by improving communication and coordination among healthcare providers. Choice D (Defining professional standards more clearly) is important but not a major challenge specifically associated with technology and EHRs in psychiatric-mental health care.
Question 3 of 5
A nurse is faced with an ethical dilemma involving a patient. Which question would be most important for the nurse to ask first when engaging in the process of ethical decision making?
Correct Answer: B
Rationale: The correct answer is B because ethical decision-making requires examining assumptions and seeking more information before making a judgment. By questioning assumptions, the nurse can avoid biases and ensure decisions are based on accurate data. This step is crucial in understanding the full context of the ethical dilemma and considering all perspectives involved. Choices A, C, and D are incorrect because focusing on personal feelings, existing knowledge, or patient values alone may not address the root of the ethical issue or lead to a comprehensive decision-making process.
Question 4 of 5
A nurse is engaged in exercises to develop self-awareness. The nurse is using which tool?
Correct Answer: B
Rationale: The correct answer is B: Reflection. Self-awareness is the process of introspection and understanding one's own thoughts, feelings, and actions. Reflection is a tool that helps individuals explore their experiences, emotions, and beliefs, leading to increased self-awareness. Interdisciplinary care (A) involves collaboration among different healthcare professionals. Plan of care (C) refers to the specific actions and interventions for a patient's treatment. Clinical reasoning (D) is the process of analyzing patient data to make clinical decisions. Reflection is the most appropriate tool for developing self-awareness among healthcare professionals.
Question 5 of 5
The nurse is integrating Peplau’s model when providing care to a patient with a mental illness. Which of the following would the nurse identify as a key component?
Correct Answer: C
Rationale: The correct answer is C: Self-care. Peplau's model emphasizes the therapeutic nurse-patient relationship, where the nurse helps the patient develop self-awareness, self-understanding, and self-care skills. By identifying self-care as a key component, the nurse promotes the patient's independence and empowerment in managing their mental illness. Incorrect choices: A: Suffering - While suffering may be a part of the patient's experience, it is not a key component in Peplau's model. B: Anxiety - Although anxiety may be present in a patient with mental illness, it is not a central focus of Peplau's model. D: Nonverbal behaviors - While nonverbal behaviors are important in communication, they are not a key component in Peplau's model, which focuses more on the therapeutic relationship and patient-centered care.