ATI Engage Mental Health -Nurselytic

Questions 19

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ATI Engage Mental Health Questions

Question 1 of 5

What is one of the characteristics shared by most personality disorders?

Correct Answer: D

Rationale: The correct answer is D: dysfunctional relationships. Most personality disorders involve difficulties in forming and maintaining healthy relationships, which is a common characteristic across various types of personality disorders. This is due to underlying issues with emotional regulation, impulsivity, and distorted perceptions of self and others. In contrast, fear of attention (
A) is not a defining feature of personality disorders, short onset of duration (
B) is not typically seen as these disorders are long-standing, and a history of violence (
C) is not universal to all personality disorders.

Question 2 of 5

A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?

Correct Answer: B

Rationale: The correct answer is B because explaining the relationship between physical symptoms and psychological state helps the patient understand the connection, reducing anxiety and fear. Triggering flashbacks intentionally (
A) can worsen symptoms. Encouraging repression of memories (
C) can lead to increased distress. Supporting 'numbing' (
D) may hinder emotional processing and can be maladaptive in the long term.

Question 3 of 5

A patient says, "Please don't share information about me with the other people." How should the nurse respond?

Correct Answer: A

Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team.

Incorrect choices:
B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting.
C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse.
D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.

Question 4 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 5 of 5

A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene?

Correct Answer: D

Rationale: The correct answer is D because viewing the newborn's actions as uncooperative can indicate a lack of understanding of newborn behavior and may lead to inappropriate responses. This attitude may hinder bonding and potentially harm the newborn's development.

A: Holding the newborn in an en face position is a positive interaction that promotes bonding.
B: Asking the father to change the newborn's diaper involves the father in caregiving, which is beneficial for bonding.
C: Requesting the nurse to take the newborn to the nursery so she can rest is acceptable as long as the mother prioritizes self-care.

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