ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
Which should the individual recognize as an example of the defense mechanism of repression?
Correct Answer: D
Rationale: Repression is a defense mechanism where distressing thoughts, feelings, or memories are pushed out of conscious awareness to protect the individual from emotional pain. In this scenario, the woman's inability to recall the traumatic event of being raped at the age of 12 indicates repression in action. Choices A, B, and C do not represent repression. Choice A reflects procrastination, choice B suggests denial, and choice C indicates sublimation as the man is channeling his unhappiness into a constructive pursuit.
Question 2 of 5
During an assessment, a client is demonstrating symptoms of moderate anxiety. Which of the following symptoms would be indicative of moderate anxiety?
Correct Answer: C
Rationale: Palpitations are a common physical symptom seen in clients experiencing moderate anxiety. Fidgeting, laughing inappropriately, and nail biting can also indicate heightened stress levels. It's important for healthcare providers to recognize these signs and provide appropriate support. While anxiety can manifest in various ways, other indicators of moderate anxiety may include restlessness, difficulty concentrating, muscle tension, and sleep disturbance. It's crucial for healthcare providers to assess these symptoms to provide effective care and interventions. Laughing inappropriately and nail biting are more commonly associated with nervousness or social discomfort, while fidgeting may signal mild anxiety.
Question 3 of 5
Which of the following are cultural aspects of mental illness? Select one that doesn't apply.
Correct Answer: D
Rationale: 1. **Correct Answer (D)**: The statement that "The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion" is not a cultural aspect of mental illness. In reality, cultural distance can often lead to stigma, discrimination, and misunderstanding of mental illness rather than increased sensitivity and compassion. It is essential to recognize that cultural beliefs and values can impact how mental illness is perceived and treated. 2. **Incorrect Answer (A)**: Option A is incorrect because it aligns with the concept of cultural aspects of mental illness. Cultural norms play a significant role in defining what is considered normal or pathological behavior within a specific community or society. Understanding these norms is crucial for providing culturally sensitive care. 3. **Incorrect Answer (B)**: Option B is incorrect as it suggests a correlation between social class and the recognition of mental illness behaviors. However, mental illness can affect individuals regardless of their social class. Recognition and acknowledgment of mental illness are influenced by various factors beyond social status, such as awareness, education, and stigma. 4. **Incorrect Answer (C)**: Option C is incorrect because it oversimplifies the process of seeking psychiatric help. While family dynamics and support networks can influence when individuals seek treatment, the decision to see a psychiatrist is multifaceted and involves personal, cultural, and systemic factors. Key Learning Points: - Cultural factors play a crucial role in shaping perceptions and responses to mental illness. - Mental health care should be provided in a culturally sensitive and competent manner to address diverse beliefs and practices. - Stereotypes and generalizations about social class, family dynamics, and cultural distance can hinder effective mental health care delivery. - Healthcare providers need to be aware of the impact of culture on mental health to provide holistic and individualized care.
Question 4 of 5
During a mental status examination, which of the following components should be included in the assessment? Select one that doesn't apply.
Correct Answer: D
Rationale: During a mental status examination, key components to be assessed include the client's appearance and behavior, thought processes, mood and affect, and cognitive function. These components help in evaluating the client's mental health status. The statement about cultural distance and illness treatment is not a part of a mental status examination and is not relevant to the assessment of mental health. Choices A, B, and C are essential components of a mental status examination and contribute to a comprehensive evaluation of an individual's mental well-being.
Question 5 of 5
A client with a history of alcohol use disorder is admitted to the hospital for detoxification. Which of the following symptoms should the nurse expect to observe during withdrawal? Select one that doesn't apply.
Correct Answer: D
Rationale: During alcohol withdrawal, symptoms such as tremors, hallucinations, diaphoresis, and seizures are commonly observed. Bradycardia is not typically associated with alcohol withdrawal; instead, tachycardia, an increased heart rate, is more commonly seen. Therefore, bradycardia is the correct answer as it is not an expected symptom during alcohol withdrawal. Tremors, hallucinations, and diaphoresis are all common manifestations of alcohol withdrawal, while bradycardia is not typically seen in this context.