ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all the houses within a one-block area were wiped out. All of Lilly's household goods and clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. You assess the situation as:
Correct Answer: B
Rationale: The correct answer is B: An adventitious crisis. This type of crisis is caused by external events beyond a person's control, such as a natural disaster. In this scenario, Lilly's loss of her home and belongings due to the fire is an external event that led to her current state of distress. This crisis is not a result of her personal development or internal conflicts, ruling out options A, C, and D. Lilly's lack of support system and disorganization in seeking assistance further align with the characteristics of an adventitious crisis.
Question 2 of 5
Which scenario describes an individual in Erikson's developmental stage of"old age" exhibiting a negative outcome of despair?
Correct Answer: D
Rationale: The correct answer is D because it reflects the negative outcome of despair in Erikson's stage of "old age." In this stage, individuals reflect on their lives and may feel satisfied or dissatisfied. Option D shows the woman feeling anger and dissatisfaction, indicating despair.
Choice A involves a woman struggling with caregiving, which could be a challenge but doesn't necessarily reflect despair.
Choice B describes someone reflecting on their life, which is a positive aspect of this stage.
Choice C shows a man openly discussing his accomplishments and failures, which is a healthy way of coping and doesn't indicate despair.
Question 3 of 5
A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, 'I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave.' Which of the following is an appropriate nursing intervention?
Correct Answer: D
Rationale: The correct answer is D: Assist the client to report abusive behavior to the proper authority. This is the most appropriate intervention because it prioritizes the safety and well-being of the client. Reporting abusive behavior to the proper authority can help protect the client from further harm and connect her with resources and support services. It also empowers the client to take action to address the abusive situation.
Choice A is incorrect because involving the client's husband directly may escalate the situation and put the client at further risk.
Choice B is incorrect as it focuses on the client recognizing signs of escalation, rather than taking immediate action to address the abuse.
Choice C is incorrect as it places the responsibility on the client to identify triggers, rather than addressing the abusive behavior directly. Reporting to the proper authority is the most effective and immediate intervention in cases of abuse.
Question 4 of 5
The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one's grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale:
Step 1: The correct answer is B because research shows that although there may be stresses involved with grandparenting, the positive benefits such as increased sense of purpose, emotional satisfaction, and intergenerational bonding tend to outweigh the negatives.
Step 2:
Choice A is incorrect because the well-being of grandmothers is not always statistically more significant when they co-parent their grandchildren. It depends on individual circumstances.
Step 3:
Choice C is incorrect as it generalizes by stating that all white grandmothers experience less well-being when co-parenting, which is not supported by research.
Step 4:
Choice D is incorrect because it specifies only grandfathers and does not provide a well-rounded view of the influence of co-parenting on the mental health of grandparents.
Question 5 of 5
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
Correct Answer: D
Rationale: The correct answer is D because hearing evil voices indicating potential psychosis or severe mental health issues requiring immediate attention. This statement suggests possible hallucinations and command hallucinations that pose a risk to the individual and others. It should be the priority focus for the plan of care.
A: Trusting family is important but does not indicate immediate safety concern.
B: Perception of bad luck may be relevant but not as urgent as potential hallucinations.
C: Concern about betrayal is significant but does not pose an immediate risk compared to hearing evil voices.