ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
A nurse is working with a child for which an out-of-home placement has occurred. Which of the following would the nurse anticipate as the child's initial response?
Correct Answer: C
Rationale: The correct answer is C: Protest. When a child experiences an out-of-home placement, they typically respond with protest initially, displaying anger, resistance, and a sense of loss. This is a common reaction as the child may feel abandoned or confused. Despair (
A) is usually a later response after protest. Withdrawal (
B) involves isolating oneself, which is not an immediate response to out-of-home placement. Detachment (
D) is a form of emotional disengagement, which is also not typically the initial response in this situation.
Question 2 of 5
A nurse is assessing a client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following?
Correct Answer: B
Rationale: The correct answer is B: Schizophrenia. The client's symptoms of disorganized, incoherent speech with loose associations and religious content are classic features of schizophrenia, specifically the positive symptoms. Schizophrenia is a severe mental disorder characterized by disturbances in thinking, emotions, and behavior. It typically presents in late adolescence or early adulthood. On the other hand, the other choices are incorrect because Alzheimer's disease primarily affects memory and cognitive function, substance intoxication would manifest with different symptoms depending on the substance, and depression typically presents with persistent feelings of sadness, hopelessness, and loss of interest in daily activities.
Question 3 of 5
The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client's affect and behavior will most likely be which of the following?
Correct Answer: A
Rationale: The correct answer is A: Angry and hostile. Individuals with paranoid personality traits often exhibit suspiciousness, mistrust, and a tendency to interpret others' actions as hostile or malevolent. This can lead to feelings of anger and hostility towards others. This affect and behavior align with the characteristics commonly seen in individuals with paranoid personality traits.
Choices B, C, and D are incorrect because paranoid individuals are not typically flirtatious, seductive, fearful, anxious, friendly, or open in their interactions due to their underlying suspicious and mistrustful nature.
Question 4 of 5
A nurse is reviewing the American Nurses Association's Statement on Psychiatric Nursing Practice published in 1967, which sanctioned the involvement of psychiatric-mental health nurses in the provision of holistic nursing care. Integrating knowledge of the various theories and views of mental health and illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
Correct Answer: B
Rationale:
Rationale:
1. Florence Nightingale emphasized holistic care in her publication "Notes on Nursing."
2. She advocated for considering physical, emotional, social, and spiritual aspects of patients' well-being.
3. This aligns with the holistic approach endorsed by the American Nurses Association in 1967.
4. Sigmund Freud's psychoanalytic theory focuses on unconscious processes, not holistic care.
5. Hildegarde Peplau's theory emphasizes nurse-patient relationships, not specifically holistic care.
6. Clifford Beers' work focuses on his personal experience with mental illness, not holistic care.
Summary:
Florence Nightingale's "Notes on Nursing" is the correct choice as it aligns with the holistic approach endorsed by the American Nurses Association in 1967. Other options do not directly relate to holistic care.
Question 5 of 5
The impulse control spectrum can begin in childhood and continue on into adulthood, often morphing into criminal behaviors. Working with patients diagnosed with these disorders, the best examples of expressed emotion by the nursing staff are:
Correct Answer: A
Rationale: The correct answer is A: Low to prevent emotional reactions. When working with patients with impulse control disorders, it is crucial for nursing staff to maintain low expressed emotion levels to prevent triggering emotional reactions in the patients. High emotional expression can exacerbate the patients' symptoms and lead to escalated behaviors. Matching the patient's emotions (
B) can also be risky as it may inadvertently validate or reinforce maladaptive behaviors. Being flat (
C) without any emotional output can be perceived as cold and uncaring, hindering the therapeutic relationship. High expression (
D) may overwhelm the patient and hinder therapeutic progress.
Therefore, maintaining low emotional reactions is the most effective approach to support patients with impulse control disorders.