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Questions 19

ATI RN


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ATI RN Test Bank

Free Mental Health ATI Practice Questions Questions

Question 1 of 5

A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?

Correct Answer: C

Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice
A) and lack of vocational skills (choice
B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice
D) can impact the client's support system but are not the primary reason for relapse in this scenario.

Question 2 of 5

The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers.
Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa.
Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques.
Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Question 3 of 5

The nurse is leading a small group of hospitalized patients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members but then adds, 'Yes, but . . .' to every suggestion offered. Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because it encourages the group member to take ownership of their situation. By asking them what solution they think would work best, the nurse empowers the individual to think critically and problem-solve for themselves. This approach promotes self-reflection and self-efficacy, which are important in the therapeutic process.


Choice A is incorrect as it suggests avoiding the issue rather than addressing it directly.
Choice B, while acknowledging the behavior, does not prompt the individual to actively engage in finding a solution.
Choice C focuses on analyzing the behavior rather than facilitating problem-solving. Overall, choice D is the best option as it encourages autonomy and empowers the individual to take charge of their own progress.

Question 4 of 5

A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life.
Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Question 5 of 5

A 4-year-old grabs toys from other children and says, "I want that now!" From a psychoanalytic perspective, this behavior is a product of impulses originating in which system of the personality?

Correct Answer: A

Rationale:
Step 1: The behavior of grabbing toys impulsively and demanding them immediately reflects primitive, instinctual desires.

Step 2: The Id, as per psychoanalytic theory by Freud, operates on the pleasure principle, seeking immediate gratification of basic needs and desires.

Step 3: The Id is present from birth and represents innate drives such as hunger, aggression, and pleasure.

Step 4: In this scenario, the child's impulsive and immediate desire for toys aligns with the characteristics of the Id.
Summary: The other choices are incorrect because the Ego focuses on reality and mediates between the Id and Superego, the Superego represents internalized societal norms and values, and the Preconscious is part of the mind that holds thoughts not currently in awareness.

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