ATI RN
ANCC Psychiatric Nurse Practitioner Practice Questions Questions
Question 1 of 5
A psychiatric-mental health nurse working in a Veteran�s Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband�s mental health problems, which response would the nurse most likely expect?
Correct Answer: D
Rationale: The correct answer is D because it indicates potential symptoms of posttraumatic stress syndrome (PTSD), such as avoidance of discussing traumatic events and social withdrawal. This response suggests the husband may be experiencing emotional distress and difficulty communicating about his problems. Choices A, B, and C do not specifically address the key features of PTSD and may indicate misunderstandings or oversimplifications of mental health issues. Choice A attributes symptoms to a vitamin deficiency, which is not typically associated with PTSD. Choice B implies a permanent and hopeless outlook on the husband's mental health, which may not be accurate. Choice C mentions hallucinations, which are not a common symptom of PTSD but rather may be associated with other psychiatric conditions.
Question 2 of 5
A nursing instructor is preparing a class discussion on the topic of self-determinism. Which of the following would the instructor expect to include? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Personal autonomy as a key value. Personal autonomy is a fundamental aspect of self-determinism, giving individuals the freedom to make their own choices. This aligns with the concept of self-determinism, where individuals have the right to act in accordance with their own values and goals. Choices based on pleasing others (B) contradict self-determinism as they prioritize external influences over personal autonomy. Activities reflecting personal goals (C) are more in line with self-determinism, but they do not encompass the broader concept of personal autonomy. The right to refuse treatment (D) is an important aspect of autonomy but is specific to healthcare decisions, not the comprehensive concept of self-determinism.
Question 3 of 5
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
Correct Answer: D
Rationale: Step 1: Developing cultural competence involves understanding and respecting the cultural beliefs of individuals. Step 2: Choice D aligns with this by emphasizing appreciation and genuine interest in the individual's cultural beliefs. Step 3: By demonstrating appreciation and interest, the nurse can build trust and rapport with the patient. Step 4: This approach promotes culturally sensitive care and patient-centered practice. Step 5: Choices A, B, and C are incorrect as they do not prioritize understanding individual cultural beliefs and may lead to stereotyping, ethnocentrism, or lack of respect for diversity. Summary: Choice D is the most appropriate as it promotes respect for individual cultural beliefs and fosters effective communication and relationship building. Choices A, B, and C lack the key components necessary for developing cultural competence.
Question 4 of 5
A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
Correct Answer: D
Rationale: The correct answer is D: Person with schizophrenia. This terminology is person-first language, emphasizing the individual over the condition. It is respectful, person-centered, and reduces stigma. Using terms like "schizophrenic" (B), "schizophrenic patient" (C), or "committed patient" (A) can be dehumanizing, label-focused, and perpetuate negative stereotypes. It is important to always prioritize personhood and dignity when referring to individuals with mental health conditions.
Question 5 of 5
A group of nursing students are reviewing the various theories that form the basis for psychiatric-mental health nursing. The students demonstrate understanding of these theories when they identify which theorist as addressing female development? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Gilligan. Carol Gilligan is known for her work on female development, particularly in contrast to the male-focused theories of development by theorists like Kohlberg. Gilligan emphasized the importance of relationships, care, and compassion in moral development, which are often more central to female experiences. Maslow's hierarchy of needs (A) is a general theory of motivation, not specific to female development. Bandura (C) is known for social learning theory, which applies to all genders. Miller (D) is not a theorist associated with female development. In this context, Gilligan stands out as the theorist most directly addressing female development.
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