ATI RN
Synopsis of Psychiatry Test Bank Questions
Question 1 of 5
A new nurse asks the mentor, �How can I be sure I�m developing a therapeutic environment for my unit?� The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:
Correct Answer: D
Rationale: A therapeutic milieu is characterized by focusing on the needs and goals of the patients. By establishing specific patient-centered goals that are agreed upon mutually by the patient and the staff, it ensures that the care provided is individualized and tailored to the patient's needs. This approach fosters a collaborative and empowering environment where the patient feels heard and supported in their recovery journey. It also promotes a sense of ownership and accountability for both the patient and the staff in working towards these goals together. In contrast, rigid adherence to timelines and unit routine (option A) may not always take into account the unique needs of each patient, and relaxation of boundaries (option B) can potentially compromise the therapeutic process by blurring professional boundaries. Therefore, establishing patient-centered goals is a key component of creating a therapeutic environment on a nursing unit.
Question 2 of 5
The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse�s next action?
Correct Answer: D
Rationale: When goals are partially met, the plan of care should be re-evaluated, and adjustments should be made to interventions or timelines.
Question 3 of 5
The treatment team was engaged in planning how group therapy could be included as a part of the structured daily activities of the unit. A new team member asked, �Why is it so important to include group therapy for the patients?� The most accurate response would be based on the assumption that:
Correct Answer: D
Rationale: Group therapy is important because psychopathology often has its roots in disordered relationships. Many mental health issues are influenced by one's interactions with others, whether it be issues with communication, trust, boundaries, or other relational dynamics. Group therapy provides a structured environment where patients can explore and work through these relational difficulties with the support and feedback of peers. By addressing these relational patterns in a group setting, patients can gain insight into their behavior and develop healthier ways of relating to others. This can be a valuable component of their overall treatment plan and can help facilitate lasting change and growth.
Question 4 of 5
Which older adult patient�s medical conditions support the hypothesis upon which the immunologic theory of aging is based?
Correct Answer: B, C
Rationale: he immunologic theory of aging suggests that aging is associated with increased autoimmunity. Conditions like multiple sclerosis, rheumatoid arthritis, and Graves� disease reflect immune dysfunction.
Question 5 of 5
A 34-year-old male with catatonic schizophrenia has been mute and motionless for several days. Which nursing intervention would be an initial priority?
Correct Answer: C
Rationale: Building trust and rapport is essential when working with patients in a catatonic or withdrawn state.
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