ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?
Correct Answer: A
Rationale: The correct answer is A: A risk for moderate to severe violence with people both within and outside his family. This is because individuals with antisocial personality disorder often exhibit behaviors such as aggression, impulsivity, disregard for the rights of others, and lack of empathy. With an extensive criminal record and being identified as having characteristics of antisocial personality disorder, the woman's husband is at an increased risk for violent behavior towards both family members and others.
Choice B is incorrect because individuals with antisocial personality disorder typically lack remorse for their actions.
Choice C is incorrect as depression and feelings of inadequacy are not characteristic of antisocial personality disorder.
Choice D is incorrect as individuals with antisocial personality disorder may maintain superficial relationships but are not likely to isolate themselves from others purposefully.
Question 2 of 5
To determine a patient's legal sanity or competency, the psychiatric forensic nurse must assess all of the following, except:
Correct Answer: D
Rationale: The correct answer is D because when assessing a patient's legal sanity or competency, the focus should be on the individual's mental state and capacity to understand their actions, not their social network. A: The ability to distinguish right from wrong is essential as it relates to legal standards for sanity. B: Understanding the nature of the act is crucial in determining competency. C: Evaluating the defendant's mental state at the time of the act helps in understanding their mental capacity during the incident. Incorrect choices A, B, and C are directly related to assessing legal sanity and competency, while choice D is not relevant to this assessment.
Question 3 of 5
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship.
Summary of other choices:
B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit.
C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit.
D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit
Question 4 of 5
After delivery, a devoutly religious client is diagnosed with postpartum depression. The client states,"No one can help me. I was an evil teenager and I must pay." Knowing the effects of cultural influences, how would the nurse interpret this statement?
Correct Answer: D
Rationale:
Step-by-step rationale for why answer D is correct:
1. The client's statement reflects a belief that their past actions are causing their current suffering.
2. This belief is consistent with the cultural influence of certain religions where illness is seen as punishment for sins.
3. The client's reference to being an "evil teenager" aligns with the idea of personal responsibility for suffering.
4. This interpretation is supported by understanding how religious beliefs can impact perceptions of illness and help-seeking behaviors.
Summary:
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Choice A is incorrect because the client is not exhibiting delusions of persecution, but rather expressing a belief in personal responsibility.
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Choice B is incorrect as the client's statement indicates a deeper issue related to religious beliefs, not simply wanting to be left alone.
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Choice C is incorrect as it generalizes all devoutly religious individuals, which is not necessarily true for all individuals within a religious group.
Question 5 of 5
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (
A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (
B) and diarrhea (
C) are not typically associated with olanzapine use.