ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 5
Nursing behaviors associated with the implementation phase of nursing process are concerned with
Correct Answer: D
Rationale: The correct answer is D because the implementation phase involves carrying out interventions and coordinating care based on the nursing care plan developed during the planning phase. This phase focuses on putting the plan into action to achieve the desired patient outcomes.
A: Participating in mutual identification of patient outcomes is part of the planning phase, where goals and outcomes are established.
B: Gathering accurate and sufficient patient-centered data is part of the assessment phase to gather information about the patient's condition.
C: Comparing patient responses and expected outcomes is part of the evaluation phase, where the effectiveness of interventions is assessed.
In summary, the implementation phase is about executing the care plan through interventions and coordination, while the other choices are associated with different phases of the nursing process.
Question 2 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 3 of 5
The nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, I'm just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me. The nurse interprets these statements as indicative of which type of mood?
Correct Answer: C
Rationale: The correct answer is C: Expansive. Expansive mood is characterized by grandiosity, inflated self-esteem, and an exaggerated sense of importance. In this scenario, the client's belief of being extremely beautiful and desirable reflects a grandiose and exaggerated self-perception, which aligns with an expansive mood seen in manic episodes of bipolar disorder.
Incorrect choices:
A: Irritable - Irritable mood is marked by anger, frustration, and hostility, which are not reflected in the client's statements.
B: Elevated - Elevated mood is characterized by increased energy and positivity but does not capture the grandiosity and exaggerated self-importance displayed by the client.
D: Euphoric - Euphoric mood is an intense feeling of happiness and excitement, which does not fully encompass the grandiose and inflated self-esteem exhibited by the client.
Question 4 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.
Question 5 of 5
A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, 'Get away from me; I can't take your barking right now.' The patient's response reflects a defense mechanism because it was which of the following?
Correct Answer: B
Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale:
1. Automatic response: The patient's reaction to the dog was immediate and instinctive.
2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut.
3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress.
4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut.
In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (
A), nor implemented to avoid coping with the pay cut (
C), or rationalize the pay cut (
D).