ATI Engage Mental Health RN: Foundations of Mental Health Nursing - Foundational Concepts of Mental Health Nursing

A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?

"If a client threatens to harm another person, health care providers have a responsibility to inform that person." A health care provider has a "duty to warn" when there is a threat from a client to another person to cause harm to them.

A nurse is discussing the diagnostic and statistical manual of mental disorders fifth edition text revisions (DSM-5 TR) with a new licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM-5?

"The DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder." Nurses often use the DSM-5 TR diagnostic information to assist with planning, implementing, and evaluating client care. This information can guide nursing interventions for specific needs.

A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios should the nurse use to demonstrate biased treatment?

A client is not permitted to attend the group therapy activity because they practice the Buddhist faith. Bias is when treatment of a client is verified in the form of stereotyping, prejudice, or discrimination. Therefore, this scenario demonstrates biased treatment.

A nurse is providing teaching to a small group of newly licensed nurses about stigma. Which of the following client scenarios should the nurse include as an example of self-stigma?

A client refuses to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant. Self-stigma is when an individual has a negative view or internalized shame regarding their mental illness, often due to the public stigma of mental illness.

A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places the client at risk for mental illness?

A history of abuse. A history of abuse places a client at risk for mental illness.

A nurse is discussing ethical principles with another nurse. Which of the following should the nurse include as an example of the principle of nonmaleficence?

A nurse evaluates the client's desire for autonomy while considering the personal safety of other clients on the unit. The principle of nonmaleficence involves doing no harm. By weighing the risks and benefits of the client's desire for autonomy while considering the safety of the other clients on the unit, the nurse is practicing nonmaleficence.

A nurse is caring for a client who is newly admitted to the acute psychiatric unit for alcohol use disorder. The client reports growing up in an Amish community. Which of the following actions should the nurse take?

Assess for personal bias related to alcohol use disorder before interacting with the client. To ensure the nurse does not have any bias in their treatment of the client, the nurse should first understand what their own culture and biases are to not hinder client care.

A nurse is planning a presentation regarding mental illness for a local health fair. Which of the following should the nurse include as a characteristic of mental illness?

Difficulty maintaining social relationships. Mental illnesses are associated with distress and/or problems functioning in social, work, or family activities.

A nurse is preparing an in-service for nursing staff on the concept of holistic nursing. Which of the following components should the nurse include in the teaching?

Holistic nursing considers the client's emotional health. Holistic nursing care considers the client's physical, emotional, social, spiritual, and intellectual health.

A charge nurse is presenting a topic of mental health nursing diagnoses during a unit meeting. The charge nurse should identify that the DSM-5 TR classification is used in conjunction or paired with what other classification system?

International Classification of Disease. The DSM-5 classification is often used in conjunction or paired with the World Health Organization's International Classification of Disease (ICD).

A nurse is preparing a poster presentation on the priorities of Healthy People 2030. Which of the following priority goals should the nurse include?

Prevention practices related to cyber bullying Cyber bullying is a stressor that can result in mental health disorders. By implementing practices targeted at prevention of cyber bullying, the priority goal of prevention of mental health disorders is met

A nurse is discussing different factors of the determinants of mental health nursing during a staff meeting. Which of the following factors should the nurse include in the discussion? (Select all that apply.)

Receiving paid maternity leave is incorrect. Unsafe drinking water is correct. Exposure to an adverse childhood event is correct. A playground in the neighborhood is correct. National policy addressing cyberbullying is correct.

A nurse is working in a neighborhood where the population is culturally diverse. Which of the following actions should the nurse take to ensure the delivery of culturally competent care?

Talk to the residents of the neighborhood about their culture. Cultural competence involves gaining knowledge about another individual's culture. Speaking to the residents of the neighborhood can assist the nurse in gaining this knowledge.

A nurse is caring for a client who reports that they are having a hard time completing their ADLs due to feeling anxious. The client also reports feeling tired, difficulty sleeping, and having a poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum?

The client would fall closer towards the mental illness end or struggling. The mental health continuum is a range of responses a person displays in response to life events. The ends vary between positive and negative responses, often viewed as mental health versus mental illness.

A nurse is reviewing the chart of a client who has paranoid schizophrenia. The nurse should identify that the Diagnostic Statistical Manual of Mental Disorders, 5th edition Text Revision (DSM-5 TR) distinguished the different types of schizophrenia based on which of the following criteria?

The client's full history. The DSM-5 TR criteria can be broken down based on the client's manifestations obtained during the complete health history.

A nurse is presenting information on mental health services over the last 50 years to a group of newly licensed nurses. In 1956, the National Mental Health Act was signed into law which resulted in which of the following?

The creation of the National Institute for Mental Health. The National Mental Health Act created the National Institute of Mental Health. The need for psychiatric services has increased over the years, specifically following World War II. The National Mental Health Act was signed in 1946 by President Harry Truman. This called for a National Institute of Mental Health, and the first meeting of the council took place that same year. The National Institute of Mental Health is a federal agency that researches mental illness and was a pioneer in assisting in the transformation of treatment and understanding of mental illnesses.

A newly license nurse is reviewing the American Nurses Association's core professional values of nursing. Which of the following actions by the nurse demonstrates the value of empowerment?

The nurse provides resources to the client who wants to create a living will before they have surgery. The value of empowerment involves the use of decision making to solve problems for the client. Assisting a client in accessing the resources needed to create a living will is a demonstration of this value.

A nurse is caring for a newly admitted client who states they are concerned about their privacy and rights while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights?

The right to refuse treatment The right to self-determination allows a client to refuse treatment, including medications. Medication refusals for mental illness are often due to side effects of the stigma of taking such a medication.