ATI RN
Mental Health Practice B ATI Questions
Question 1 of 5
A client with bipolar disorder has had a history of multiple episodes and states, I'm so frustrated with what's happened because of these episodes. Which of the following would the nurse encourage to help support this client's recovery?
Correct Answer: B
Rationale: The correct answer is B: Hope. Encouraging hope is essential for supporting a client with bipolar disorder as it fosters a positive outlook and motivation for recovery. Hope can help the client stay resilient during challenging times. Codependence (
A) may enable maladaptive behaviors. Self-control (
C) may be difficult for someone with bipolar disorder during episodes. Independent decision making (
D) may be overwhelming without proper support. In summary, hope is crucial for maintaining optimism and perseverance in the recovery process.
Question 2 of 5
A nurse determines that a patient has poor social skills that have interfered with his ability to engage others, which has contributed to his feelings of purposelessness, hopelessness, and withdrawal. Which of the following would be most important to assist the patient in beginning to social skills?
Correct Answer: C
Rationale: The correct answer is C: Nurse-patient relationship. Building a strong therapeutic alliance is crucial in addressing the patient's poor social skills. A trusting relationship with the nurse can provide a safe space for the patient to explore and improve their social interactions. The nurse can offer guidance, support, and feedback to help the patient develop social skills. Self-help and recovery groups may be beneficial later on, but initially, the focus should be on building a therapeutic relationship. Limit setting is not directly related to improving social skills and may not address the underlying issues contributing to the patient's difficulties.
Question 3 of 5
Which statement by a patient would lead the nurse to suspect unsuccessful completion of the psychosocial developmental task of infancy?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Infancy's developmental task is trust vs. mistrust, forming trust in others.
2. Patient not allowing others to know them suggests inability to form trusting relationships.
3.
Choice B aligns with the mistrust aspect of infancy development.
4.
Choices A, C, D do not directly relate to the trust vs. mistrust developmental task.
Question 4 of 5
Secondary effects of abuse often manifest as arrested development in children due to the fact that:
Correct Answer: B
Rationale: The correct answer is B because when children experience abuse, their energy and resources are directed towards coping mechanisms to survive, rather than towards healthy development. This diversion of energy can hinder their emotional, cognitive, and social growth, leading to arrested development.
Choice A is incorrect because coping with abuse is actually very challenging and can impede emotional growth.
Choice C is incorrect because children can often differentiate between love and abuse, but may struggle to seek help due to fear or confusion.
Choice D is incorrect because abuse does not foster a sense of belonging; rather, it creates a harmful environment that can lead to further emotional damage.
Question 5 of 5
A nurse is working as part of an interdisciplinary treatment team for a client diagnosed with a mental illness and substance abuse disorder. As part of the recovery process, which of the following would be most important for the team to do initially?
Correct Answer: D
Rationale: The correct answer is D: intense emotional pressure. Initially, applying intense emotional pressure in a sensitive and supportive manner can help the client realize the seriousness of their situation and motivate them to engage in treatment. This approach can create a sense of urgency and importance for the client to address their mental illness and substance abuse disorder. It aims to evoke emotions that may prompt the client to reconsider their behaviors and choices, leading them to seek help voluntarily.
Choices A, B, and C are incorrect because they advocate for coercive and authoritarian approaches that can potentially harm the therapeutic relationship and hinder the client's progress. Short-term hospitalizations, leveraging pressure, establishing strict rules, and using heavy confrontation can lead to resistance, defiance, and further alienation of the client. It is essential to prioritize building trust, fostering collaboration, and promoting autonomy in the early stages of treatment to establish a foundation for successful recovery.