ATI MENTAL HEALTH PROCTORED TEST BANK 2021/2022 

ATI MENTAL HEALTH PROCTORED TEST BANK

 History & Roles

Chapter 2. Mental Health/Mental Illness: Historical and Theoretical

Concepts

1. A nurse is assessing a client who is experiencing occasional feelings of

sadness because of the recent death of a beloved pet. The clients appetite,

sleep patterns, and daily routine have not changed. How should the nurse

interpret the clients behaviors?

A. The clients behaviors demonstrate mental illness in the form of depression.

B. The clients behaviors are extensive, which indicates the presence of mental

illness.

C. The clients behaviors are not congruent with cultural norms.

D. The clients behaviors demonstrate no functional impairment, indicating no

mental illness.

ANS: D

The nurse should assess that the clients daily functioning is not impaired. The

client who experiences feelings of sadness after the loss of a pet is responding

within normal expectations. Without significant impairment, the clients distress

does not indicate a mental illness.

KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:

Assessment | Client Need: Psychosocial Integrity

2. At what point should the nurse determine that a client is at risk for developing

a mental disorder?

A. When thoughts, feelings, and behaviors are not reflective of the DSM5 criteria

B. When maladaptive responses to stress are coupled with interference in daily

functioning

C. When the client communicates significant distress

D. When the client uses defense mechanisms as ego protection

ANS: B

The nurse should determine that the client is at risk for mental disorder when

responses to stress are maladaptive and interfere with daily functioning.

The DSM-5 indicates that in order to be diagnosed with a mental disorder, there

must be significant disturbance in cognition, emotion, regulation, or behavior

that reflects a dysfunction in the psychological, biological or developmental

processes underlying mental functioning. These disorders are usually associated

with significant distress or disability in social, occupational, or other important

activities. The clients ability to communicate distress would be considered a

positive attribute.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:

Assessment | Client Need: Psychosocial Integrity

3. A nurse is assessing 15-year-old identical twins who respond very differently

to stress. One twin becomes anxious and irritable, while the other withdraws and

cries. How should the nurse explain these different responses to stress to the

parents?

A. Reactions to stress are relative rather than absolute; individual responses to

stress vary.

B. It is abnormal for identical twins to react differently to similar stressors.

C. Identical twins should share the same temperament and respond similarly to

stress.

D. Environmental influences weigh more heavily than genetic influences on

reactions to stress.

ANS: A

Responses to stress are variable among individuals and may be influenced by

perception, past experience, and environmental factors in addition to genetic

factors.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:

Implementation | Client Need: Psychosocial Integrity

4. A client has a history of excessive drinking, which has led to multiple arrests

for driving under the influence (DUI). The client states, I work hard to provide

for my family. I dont see why I cant drink to relax. The nurse recognizes the use

of which defense mechanism?

A. Projection

B. Rationalization

C. Regression

D. Sublimation

ANS: B

The nurse should recognize that the client is using rationalization, a common

defense mechanism. The client is attempting to make excuses and create logical

reasons to justify unacceptable feelings or behaviors.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:

Assessment | Client Need: Psychosocial Integrity

5. Which client should the nurse anticipate to be most receptive to psychiatric

treatment?

A. A Jewish, female journalist

B. A Baptist, homeless male

C. A Catholic, black male

D. A Protestant, Swedish business executive

ANS: A

The nurse should anticipate that the client of Jewish culture would place a high

importance on preventative health care and would consider mental health as

equally important as physical health. Women are also more likely than men to

seek treatment for mental health problems.

KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing

Process: Planning | Client Need: Psychosocial Integrity

6. A new psychiatric nurse states, This clients use of defense mechanisms

should be eliminated. Which is a correct evaluation of this nurses statement?

A. Defense mechanisms can be self-protective responses to stress and need not

be eliminated.

B. Defense mechanisms are a maladaptive attempt of the ego to manage

anxiety and should always be eliminated.

C. Defense mechanisms, used by individuals with weak ego integrity, should

be discouraged and not eliminated.

D. Defense mechanisms cause disintegration of the ego and should be fostered

and encouraged.

ANS: A

The nurse should know that defense mechanisms serve the purpose of

reducing anxiety during times of stress. A client with no defense mechanisms

may have a lower tolerance for stress, predisposing him or her to anxiety

disorders. Defense mechanisms should be confronted when they impede the

client from developing healthy coping skills.

KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:

Implementation | Client Need: Psychosocial Integrity

7. During an intake assessment, a nurse asks both physiological and

psychosocial questions. The client angrily responds, Im here for my heart, not

my head problems. Which is the nurses best response?

A. Its just a routine part of our assessment. All clients are asked these same

questions.

B. Why are you concerned about these types of questions?

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