ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
Which event experienced in the patient's childhood increases the risk of the development of behaviors associated with intermittent explosive disorder?
Correct Answer: B
Rationale: The correct answer is B: Physically abused from ages 3 to 10. Childhood physical abuse can lead to trauma, emotional dysregulation, and aggression, increasing the risk of developing behaviors associated with intermittent explosive disorder (IE
D). This chronic exposure to violence can impact brain development, leading to difficulties in impulse control and emotional regulation, key features of IED. Orphaned at age 4 (choice
A) may lead to attachment issues but is not directly linked to IED. Being born with a chronic congenital disorder (choice
C) is a medical condition and not a psychological factor contributing to IED. Having a parent with obsessive-compulsive disorder (choice
D) may influence anxiety levels but is not a direct risk factor for IED.
Question 2 of 5
What should the psychiatric nurse do to assist individuals and families to understand the recovery process and the resources available to them?
Correct Answer: A
Rationale: The correct answer is A: psychoeducation. This involves providing information and education about mental health conditions, treatment options, coping strategies, and resources available. This helps individuals and families understand the recovery process and available support. Creating a care plan (
B) is important but not specifically focused on education. Referring to a psychiatrist (
C) is more about treatment rather than education. Referring to a website (
D) may not cater to individual needs or provide personalized support like psychoeducation does.
Question 3 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism.
A: Academic problems do not necessarily indicate poor coping skills or violent tendencies.
B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator.
C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 4 of 5
Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with
Correct Answer: D
Rationale: The correct answer is D because assertive community treatment (ACT) is designed for individuals with severe mental illnesses, such as schizophrenia, who have difficulty managing their symptoms and functioning independently. This patient with schizophrenia and frequent hospitalizations would benefit from the intensive, community-based support provided by ACT teams.
Choice A is incorrect as a phobic fear of crowded places does not typically require the level of intensive support provided by ACT.
Choice B is incorrect as a single episode of major depressive disorder may not warrant the ongoing, comprehensive care offered by ACT.
Choice C is incorrect as a catastrophic reaction to a tornado is likely a situational crisis that may be better addressed through crisis intervention or trauma-focused therapy, rather than ACT.
Question 5 of 5
Which statement made by the patient demonstrates an understanding of the foundational principle of integrative care?
Correct Answer: A
Rationale:
Step 1: Understanding the foundational principle of integrative care is recognizing the body's innate ability to heal itself.
Step 2:
Choice A acknowledges this principle by stating that the body can heal itself with the right tools.
Step 3: This aligns with the holistic approach of integrative care, focusing on empowering the body's natural healing processes.
Step 4: Other choices do not emphasize the foundational principle:
- B focuses on the types of care received, not the core principle.
- C mentions the source of knowledge, not the principle of self-healing.
- D prioritizes curing a specific illness, not the broader concept of the body's healing capacity.