ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates cognitive restructuring in cognitive-behavioral therapy. The patient challenges their negative thought ("everyone hates me") with evidence to the contrary ("most people like me and I have a friend named
Todd"). This shows progress in changing maladaptive thought patterns.
Choice A indicates potential aggression, choice C suggests poor retention of coping strategies, and choice D implies a maladaptive coping mechanism. Overall, B is the correct choice as it aligns with the goals of cognitive-behavioral therapy to challenge and reframe negative thoughts.
Question 2 of 5
What assessment question should the nurse ask when attempting to determine a teenager’s mental health resilience? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: How do you feel about talking to a mental health counselor? This question is crucial in assessing a teenager's mental health resilience as it directly addresses their willingness to seek professional help and their attitude towards mental health support. By asking this question, the nurse can gauge the teenager's openness to counseling, which is an important aspect of resilience-building.
Choices A, B, and D are incorrect because they do not directly assess the teenager's mental health resilience. Questioning coping strategies (
A), seeking advice (
B), or future aspirations (
D) may provide valuable information, but they do not specifically address the individual's attitude towards seeking professional mental health support, which is essential for determining resilience in this context.
Question 3 of 5
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Level of cognitive development. Diagnosing mental illness in young children is challenging due to their limited ability to express their thoughts and emotions. Their cognitive development affects their capacity to understand and communicate symptoms, making it harder to assess their mental health accurately. Limited language skills (
A) and emotional development (
C) can also contribute to the difficulty of diagnosis, but cognitive development plays a more significant role. Parental denial (
D) may hinder seeking help but is not a factor that directly impacts the diagnostic process in the child.
Question 4 of 5
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
Correct Answer: D
Rationale:
Correct
Answer: D. Premature termination of services
Rationale: The lack of community-based resources and providers, along with long waiting lists, can lead to premature termination of services in pediatric mental health. When families face difficulties accessing timely and continuous care, they may discontinue treatment prematurely, impacting the effectiveness of interventions. This can result in negative outcomes for children, such as unaddressed mental health issues and increased risk of relapse.
Summary:
A: Children of color and poor economic conditions being underserved - While this may be a consequence of the lack of resources, it is not directly caused by premature termination of services.
B: Increased stress in the family unit - While this may be a consequence of the situation, it is not directly caused by premature termination of services.
C: Markedly increased funding - While increased funding could help address the lack of resources, it is not directly related to premature termination of services.
Question 5 of 5
Child protective services have removed 10-year-old Christopher from his parents’ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. This is because Christopher's ability to form a positive relationship with the woman next door, his love for school, and above-average grades despite experiencing neglect indicate his resilience. Resilience refers to the capacity to adapt positively in the face of adversity. Christopher's behavior shows his ability to thrive despite challenging circumstances, emphasizing his resilience.
Choices A, B, and D do not fully capture Christopher's ability to overcome adversity. Temperament (
A) refers to inherent personality traits, genetic factors (
B) focus on biological influences, and paradoxical effects of neglect (
D) do not directly address Christopher's ability to cope and thrive.