ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
Correct Answer: A
Rationale: The correct answer is A. By having the patient's spouse mark refill dates on the family calendar, it promotes family involvement in medication management, enhancing adherence. It also serves as a visual reminder for both the patient and spouse, reducing the likelihood of missed refills. This collaborative approach strengthens the support system and helps prevent relapse.
Choice B is incorrect because it does not actively involve the patient or address the underlying issue of forgetfulness.
Choice C may not be as effective as involving the spouse directly in the process.
Choice D, while involving the patient, is too frequent and may not be necessary if the patient's stability can be maintained with proper support at home.
Question 2 of 5
The nursing student is experiencing a severe family crisis. In what way might this situation affect the student's performance in a psychiatric rotation?
Correct Answer: A
Rationale: The correct answer is A. The nursing student experiencing a severe family crisis might overidentify with clients, projecting their own needs onto them. This can lead to blurred professional boundaries and compromised care.
Choice B is incorrect because fear of clients is more likely to stem from personal anxiety rather than a family crisis.
Choice C is incorrect as feeling inadequate is a separate issue from overidentification.
Choice D is incorrect because self-doubt due to lack of knowledge is not directly related to family crisis-induced overidentification.
Question 3 of 5
While interviewing a client diagnosed with a delusional disorder, the client states, 'I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I've seen so many doctors, and they can't tell me what's wrong.' The nurse interprets the client's statement as reflecting which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Somatic. This is because the client's belief about having a strange odor coming out of their mouth, despite medical professionals not finding any physical cause, aligns with a somatic delusion. Somatic delusions involve false beliefs about one's body, health, or appearance. In this case, the client's preoccupation with the perceived odor falls under the somatic delusion category.
Explanation for other choices:
A: Erotomanic delusions involve the belief that someone, usually of higher status, is in love with the individual. This does not align with the client's statement about the strange odor.
B: Grandiose delusions involve exaggerated beliefs about one's importance, power, or abilities. The client's statement about the strange odor does not reflect grandiosity.
D: Jealous delusions involve unfounded beliefs about a partner's infidelity. This also does not relate to the client's statement about the odor.
Question 4 of 5
An unconscious client with a self-inflicted gunshot wound to the head is admitted. Family members allude to the existence of a living will in which the client mandates no implementation of life support. What is the legal obligation of the health-care team?
Correct Answer: B
Rationale: The correct answer is B: Follow the directions given in the living will because of mandates by state law. In this scenario, the living will is a legal document that expresses the client's wishes regarding medical treatment in case they become incapacitated. State laws typically require healthcare providers to honor living wills. This legal obligation supersedes the family's wishes, ethical principles like nonmaleficence (do no harm) or beneficence (do good).
Therefore, it is essential for the health-care team to follow the specific directives outlined in the living will to respect the client's autonomy and ensure their wishes are honored.
Question 5 of 5
A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
Correct Answer: D
Rationale: The correct answer, D, is the most accurate definition of biosexual identity. Biosexual identity refers to the anatomic and physiologic state of being male or female, which is determined by biological factors such as chromosomes, hormones, and reproductive anatomy. This definition focuses on the physical aspects of gender and is not influenced by personal convictions, outward expressions, or sexual attraction.
Choices A, B, and C are incorrect because they do not specifically address the biological aspects of gender identity, which are central to understanding biosexual identity.
Choice A focuses on personal conviction, choice B on outward expression, and choice C on sexual attraction, all of which are separate from the biological determinants of gender.