ATI RN
Mental Health Practice Questions Questions
Question 1 of 9
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Invincibility fable. This term refers to the belief that one is immune to harm or negative outcomes. The teen's statement reflects this cognitive distortion, common in adolescents. It signifies a sense of invulnerability and underestimation of risks. The other choices are incorrect because B: Formal operations refers to Piaget's cognitive development stage, not relevant here. C: Egocentric thinking is about self-centeredness, not directly related to risk perception. D: Relational aggression involves social manipulation, not present in the teen's statement.
Question 2 of 9
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.
Question 3 of 9
Which patient is the best candidate for brief psychodynamic therapy?
Correct Answer: A
Rationale: The correct answer is A because brief psychodynamic therapy is typically suitable for individuals with specific, time-limited issues like the aftermath of an extramarital affair. This type of therapy focuses on exploring unconscious conflicts and patterns related to the specific problem. Choices B, C, and D present more complex and severe issues that would likely require longer-term or more intensive therapies such as cognitive-behavioral therapy, dialectical behavior therapy, or medical interventions. It is important to match the therapy approach to the individual's needs and presenting concerns.
Question 4 of 9
A group of nursing students are reviewing information about counseling interventions. The students demonstrate a need for additional review when they identify counseling interventions as involving which of the following?
Correct Answer: C
Rationale: The correct answer is C: Goal of regaining functional abilities. Counseling interventions typically focus on emotional and psychological support rather than physical rehabilitation or regaining functional abilities. This choice is incorrect because counseling is not aimed at improving physical abilities but rather at addressing emotional and mental health issues. Choices A, B, and D are correct as they align with common counseling interventions, which are often specific, time-limited, focus on coping improvement, and aim to prevent disability by addressing mental health concerns.
Question 5 of 9
A nurse wants to head a project to improve medication administration on their unit. They work with other nurses on the unit to find evidence-based practice. What type of a research project is this?
Correct Answer: D
Rationale: The correct answer is D: QI (Quality Improvement). In this scenario, the nurse is leading a project to improve medication administration, which aligns with the goals of a QI project. The focus is on implementing evidence-based practices to enhance patient care outcomes. QI projects aim to make systematic changes to improve processes and outcomes within a healthcare setting. A: Qualitative research focuses on exploring experiences, perceptions, and meanings, rather than making systematic improvements to processes. B: PICOT is a framework used to formulate research questions for evidence-based practice projects, not a type of research project. C: Mixed methods research involves combining qualitative and quantitative methods, which is not the same as leading a QI project to improve medication administration.
Question 6 of 9
What are the three types of delirium?
Correct Answer: D
Rationale: The correct answer is D: hyperactive, hypoactive, and mixed. Hyperactive delirium involves agitation and restlessness, hypoactive delirium is characterized by reduced activity and lethargy, and mixed delirium includes features of both hyperactive and hypoactive states. Choice A is incorrect as depression is not a type of delirium. Choice B is incorrect as confusion is a symptom found in all types of delirium, not a distinct type. Choice C is incorrect as dementia is a separate condition from delirium.
Question 7 of 9
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Head Compression. Early decelerations are usually caused by fetal head compression during contractions. As the head is compressed, it stimulates the vagus nerve, leading to a temporary decrease in the fetal heart rate. This is a normal response to the pressure exerted during contractions and is not associated with fetal hypoxia (choice A), abruptio placentae (choice B), or post maturity (choice C). Fetal hypoxia would be indicated by late decelerations, abruptio placentae would show variable decelerations, and post maturity would have a non-reassuring fetal heart rate pattern.
Question 8 of 9
When considering the goals of complementary and alternative medicines, which patient would be of particular interest to researchers studying advances in symptom management?
Correct Answer: A
Rationale: The correct answer is A because chronic pain related to a neck injury is a common condition that complementary and alternative medicines often aim to address through symptom management. Researchers studying advances in this area would be interested in patients with chronic pain as they provide an opportunity to explore the effectiveness of alternative treatments. Choice B is incorrect because acute gastrointestinal infections are typically managed through conventional medical interventions, rather than complementary or alternative medicines. Choice C is incorrect as gestational diabetes in pregnant women requires close monitoring and management by medical professionals, making it less likely to be a focus for researchers studying advances in complementary and alternative medicines for symptom management. Choice D is incorrect because surgery for a clubbed foot is a condition that is usually addressed through surgical interventions and physical therapy, rather than complementary or alternative medicines for symptom management.
Question 9 of 9
A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B because maintaining regular bedtimes and rising times helps establish a consistent sleep schedule, which is crucial for managing insomnia. This intervention promotes the client's natural sleep-wake cycle and overall sleep quality. Encouraging the client to consider stopping smoking (Choice A) is important for overall health but may not directly address the immediate sleep issue. Taking frequent naps (Choice C) can disrupt the client's ability to fall asleep at night. Administering sleep medications (Choice D) should be a last resort and not the initial intervention.