ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Extract:
Question 1 of 5
A nurse is analyzing a client's diagnosis list and medication list. Which medication class can be effectively in treating manic episodes with bipolar disorder?
Correct Answer: B
Rationale: The correct answer is B: Mood-Stabilizing Drugs. These medications, such as lithium or valproate, are specifically designed to help manage manic episodes in bipolar disorder by stabilizing mood fluctuations. Antidepressant drugs (
Choice
A) may worsen manic episodes, antipsychotic drugs (
Choice
C) are often used in conjunction with mood stabilizers but are not the first-line treatment for mania, and anxiolytics (
Choice
D) are primarily used to treat anxiety disorders, not bipolar disorder.
Therefore, mood-stabilizing drugs are the most effective choice for treating manic episodes in bipolar disorder.
Question 2 of 5
A nurse caring for clients in an outpatient mental health unit is explaining the mental health continuum to a group of nursing students. Which are true regarding mental health and mental illness? Select all that apply.
Correct Answer: B,C,E
Rationale: Correct answer: B, C, E
Rationale:
B: Mental health is influenced by various factors such as genetics, environment, social determinants, and psychological factors. These components interact and change over time, impacting an individual's mental health status.
C: Mental illness can indeed result in impaired functioning in various areas of life, such as work, relationships, and daily activities, affecting an individual's overall well-being.
E: Mental health is characterized by satisfying interpersonal relationships, effective coping strategies, positive self-esteem, and emotional stability. These indicators reflect a person's mental well-being and ability to navigate life's challenges.
Incorrect choices:
A: Cultural norms influence what behaviors are considered acceptable, but not all behaviors deemed acceptable in one culture are universally accepted. Mental health beliefs and practices can vary across cultures.
D: Defining mental health and mental illness is complex and not easy. It involves a range of subjective and objective criteria, making it challenging to have a clear-cut definition.
Question 3 of 5
An advanced practice nurse determines that a group of clients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills together. Which of the following interventions would the advanced practice nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Milieu therapy. Milieu therapy focuses on creating a therapeutic environment where clients can practice social behaviors and learn living skills in a supportive setting. Clients benefit from interactions with peers and staff to improve their social skills and coping mechanisms.
A: Cognitive therapy focuses on changing negative thought patterns.
B: Reality therapy emphasizes personal responsibility and choice.
C: Dialectical behavioral therapy targets emotional regulation and distress tolerance.
Overall, D is the best choice as it directly addresses the need for clients to practice appropriate social behaviors and learn basic living skills together in a structured environment.
Question 4 of 5
A client presents to the emergency department with a flat affect and disheveled appearance. The nurse objectively can see that the client has experienced an adventitious crisis. Which are examples of adventitious crises? Select all that apply.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. A natural disaster, death of a loved one, and experiencing violent crimes are examples of adventitious crises, which are unexpected and uncontrollable events that can lead to a psychological crisis. In this scenario, the client's flat affect and disheveled appearance indicate a significant distress reaction to the crisis.
Choices C and D, leaving home for the first time and loss of a job, are examples of developmental or situational crises, not adventitious crises. Developmental crises arise from normal life transitions, while situational crises result from specific stressors.
Therefore, they do not fit the definition of adventitious crises in this context.
Question 5 of 5
A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?
Correct Answer: B
Rationale:
Correct Answer: B - Encouraging the client to clarify feelings and behavior
Rationale: During the working phase of a therapeutic relationship, encouraging the client to clarify feelings and behaviors is essential for exploring problems effectively. By doing so, the nurse helps the client gain insight into their emotions and actions, leading to a deeper understanding of the underlying issues. This process fosters self-awareness, self-reflection, and promotes personal growth. It also allows the client to express themselves freely and openly, facilitating a more meaningful and productive therapeutic dialogue.
Incorrect
Choices:
A: Identifying possible solutions for the client's problems - This choice focuses on problem-solving rather than exploring underlying issues or emotions.
C: Referring the client to a self-help group - This choice involves outside referral rather than actively engaging in exploring problems with the client.
D: Comparing past and present coping strategies - This choice emphasizes comparison rather than focusing on the client's current feelings and behaviors.