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 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).
Question 3 of 5
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
Correct Answer: C
Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and
B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice
D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process.
Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.
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 nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis?
Correct Answer: B
Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors.
Rationale:
1.
Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image.
2.
Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem.
3.
Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.