ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
A nursing instructor is integrating Piaget's theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?
Correct Answer: C
Rationale: The correct answer is C: Formal operations. Adolescents are typically in Piaget's formal operations stage, which occurs around ages 11 to adulthood. In this stage, individuals develop abstract thinking, logical reasoning, hypothetical thinking, and problem-solving skills. This stage allows adolescents to think about possibilities, consequences, and hypothetical situations.
Choices A, B, and D are incorrect because they correspond to earlier stages of cognitive development. Concrete operations (choice
A) typically occur between ages 7 to 11, preoperational (choice
B) between ages 2 to 7, and sensorimotor (choice
D) from birth to 2 years old. These stages do not align with the cognitive abilities and characteristics of adolescents.
Question 2 of 5
A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?
Correct Answer: B
Rationale: The correct answer is B: 1 to 2 weeks. Sertraline is an antidepressant that can help with premature ejaculation. It typically takes 1 to 2 weeks for the medication to start showing effectiveness due to the need for the drug to reach a therapeutic level in the body. This time frame allows the client's body to adjust to the medication and for the serotonin levels to stabilize, resulting in improved control over ejaculation.
Choices A (5 to 7 days), C (3 to 4 weeks), and D (6 to 8 weeks) are incorrect as they do not align with the typical onset of action for sertraline. A shorter time frame like 5 to 7 days is usually insufficient for the drug to reach therapeutic levels, while longer time frames like 3 to 4 weeks or 6 to 8 weeks exceed the typical onset of action for this medication.
Question 3 of 5
Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story.
Choices A, B, and D are incorrect:
A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings.
B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion.
D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.
Question 4 of 5
A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hairball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
Correct Answer: B
Rationale: The correct answer is B: Trichotillomania. Trichotillomania is a disorder characterized by the compulsive urge to pull out one's hair, leading to hair loss. In this case, the young girl's behavior of pulling out hair to relieve tension and anxiety aligns with the symptoms of trichotillomania. Kleptomania (
A) is the urge to steal items, not related to hair pulling. Pyromania (
C) is the urge to set fires, not related to hair pulling. Intermittent explosive disorder (
D) involves episodes of impulsive aggression, not related to hair pulling.
Question 5 of 5
When assessing a client with dementia, the nurse identifies that the client is experiencing hallucinations. Based on the nurse's understanding of this disorder, which type of hallucination would the nurse expect as most common?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. In dementia, visual hallucinations are most common due to changes in the brain affecting perception. These hallucinations can be vivid and complex. Auditory hallucinations (choice
A) are less common in dementia. Gustatory (choice
C) and olfactory (choice
D) hallucinations are even rarer and usually not associated with dementia. Visual hallucinations are often distressing for individuals with dementia and may require appropriate interventions for management.