ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 5
Bobby is a seven-year-old who attends second grade in a public school. His teacher notices that Bobby doesn't volunteer to answer questions or talk with the other children. When he does talk, he sometimes stutters, especially if he gets nervous or thinks the other children are looking at him. What is one type of treatment that might make Bobby feel more comfortable talking in class?
Correct Answer: C
Rationale: The correct answer is C: singing. Singing can help Bobby feel more comfortable talking in class by promoting relaxation, breath control, and confidence in his voice. Singing can also improve his speech fluency and rhythm, which may reduce his stuttering when talking. Additionally, singing can be a fun and engaging way for Bobby to express himself without feeling self-conscious.
Other choices are incorrect because:
A: scheduling a conference with his mother may not directly address Bobby's communication difficulties in class.
B: psychodrama focuses on exploring emotions and thoughts through dramatic expression, which may not specifically target Bobby's speech issues.
D: having a hearing assessment is not relevant to Bobby's stuttering and difficulty talking in class.
Question 2 of 5
A client on a psychiatric unit tells the nurse,"I'm all alone in the world now, and I have no reason to live." Which response by the nurse would encourage further communication by the client?
Correct Answer: A
Rationale: The correct answer is A because it reflects active listening and empathy, which can encourage further communication. By acknowledging the client's feelings of loneliness and fear, the nurse shows understanding and creates a safe space for the client to share more.
Choice B is incorrect because it implies judgment and may shut down communication.
Choice C focuses on the nurse's experience rather than the client's, which is not helpful.
Choice D offers false reassurance and minimizes the client's feelings, not addressing the underlying issues.
Question 3 of 5
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a disease within a specified time period, such as the past year in this scenario. It specifically focuses on newly diagnosed individuals, which aligns with the nursing student's interpretation.
Rationale:
1. Incidence measures new cases over a specific period.
2. It helps in understanding the risk of developing a condition.
3. Prevalence (
B) refers to all existing cases at a specific time.
4. Rate (
A) is a general term for any measure of occurrence.
5. Point prevalence (
C) is the number of cases at a specific point in time.
In summary, the other choices are incorrect because they do not specifically capture the concept of new cases within a defined timeframe, which is central to the concept of incidence.
Question 4 of 5
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using substances like alcohol and marijuana is a common maladaptive coping mechanism in individuals with dissociative disorders to escape or numb painful emotions. This behavior indicates ineffective coping as the patient is not addressing their underlying issues.
A: Having no memory of abuse is a symptom of dissociative disorders, not necessarily indicative of ineffective coping.
C: Being unaware of surroundings is a symptom of dissociative disorders, not a direct indicator of coping strategies.
D: Feeling detached or not present is a symptom of dissociative disorders, not a specific behavior related to coping mechanisms.
Question 5 of 5
Which statement about crisis theory will provide a basis for nursing intervention?
Correct Answer: A
Rationale: Rationale for Correct Answer (
A):
1. A crisis is defined as an acute time-limited phenomenon: This is true according to crisis theory, as crises are temporary and time-bound.
2. Experienced as an overwhelming emotional reaction: Crises often lead to intense emotional responses due to the perceived threat or problem.
3.
To a problem perceived as unsolvable: The crucial aspect of a crisis is the perception that the problem is insurmountable, leading to feelings of helplessness.
Summary of Incorrect
Choices:
B: This choice implies a pre-existing maladaptive coping pattern, which is not a universal characteristic of individuals in crisis.
C: Crisis typically arises from negative events that challenge an individual's well-being, not events that boost self-esteem.
D: Nursing intervention is essential in crisis situations to help individuals cope and resolve the crisis, making this choice incorrect.