ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B: Time-out is no longer an effective therapeutic measure. In this scenario, April's escalating behavior and the ineffectiveness of time-out suggest that it is not addressing the underlying issues causing her behavior. Continuous use of time-out can lead to it losing its effectiveness and may not promote self-reflection. April's behavior worsening despite frequent use of time-out indicates the need for a different approach to address her needs.
Choices A, C, and D are incorrect because they do not address the situation at hand.
Choice A assumes time-out is still effective despite evidence to the contrary.
Choice C assumes April enjoys time-out, which is not supported by the information given.
Choice D suggests a drastic and inappropriate measure of seclusion and restraint, which should only be used as a last resort in emergency situations.
Question 5 of 5
Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:
Correct Answer: B
Rationale: The correct answer is B: Cerebellum maturation. During adolescence, the cerebellum undergoes significant development, leading to improved emotional and behavioral control. The cerebellum plays a crucial role in coordinating movement and regulating emotions. As it matures, adolescents become better at processing and responding to emotions, leading to increased emotional regulation and tolerance for frustration. Limited executive function (choice
A) would actually hinder emotional control. Cerebral stasis and hormonal changes (choice
C) do not directly contribute to improved emotional regulation. A slight reduction in brain volume (choice
D) is not associated with increased emotional control.