ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship.
Choice A does not address the immediate needs of the client.
Choice B is too broad and does not guide the client towards discussing the relevant issues.
Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 2 of 5
According to Maslow's hierarchy of needs, which of the following client actions would be considered most basic? Select all that apply.
Correct Answer: A
Rationale: According to Maslow's hierarchy of needs, the most basic needs are physiological needs, safety needs, and then social needs.
Choice A addresses the need for safety by discussing the need for order and freedom from fear, making it the most basic.
Choices B, C, and D relate to higher-level needs such as belongingness, esteem, and self-actualization, respectively.
Choice B addresses the need for social connection,
Choice C relates to self-actualization, and
Choice D involves practicing assertiveness skills, which is related to esteem needs. Thus,
Choice A is the most basic according to Maslow's hierarchy.
Question 3 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale:
Step-by-step rationale for choice C being correct:
1. Imaginary friends are common in children, especially those who have experienced trauma.
2. They serve as a coping mechanism for children to process their emotions and experiences.
3. The nurse's teaching aims to help the foster family understand this coping mechanism.
4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma.
Summary of why other choices are incorrect:
A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development.
B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism.
D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.
Question 4 of 5
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The patient's behavior of monopolizing the conversation in a group therapy setting is likely a manifestation of anxiety. This behavior can be a coping mechanism to divert attention away from their own discomfort and vulnerability. By dominating the conversation, the patient may be attempting to maintain a sense of control and avoid facing their own underlying fears and anxieties. This behavior may also stem from a fear of being judged or feeling inadequate in the group setting.
Choices B, C, and D are incorrect because anger, rebellion, and fear do not align as clearly with the behavior described in the scenario. Anger typically involves a different expression, rebellion would manifest differently, and fear would manifest more as withdrawal or avoidance rather than dominating the conversation.
Question 5 of 5
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues.
Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment.
Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults.
Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment.
Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.