ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
Which patient statement supports the diagnosis of anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A because a fear of gaining weight is a common symptom of anorexia nervosa. People with anorexia nervosa often have an intense fear of gaining weight or becoming fat, leading to restrictive eating habits. This statement aligns with the diagnostic criteria for anorexia nervosa outlined in the DSM-5.
Choice B is incorrect because it does not directly relate to the typical symptoms of anorexia nervosa. While social isolation and lack of support can be factors in eating disorders, this statement does not specifically support the diagnosis of anorexia nervosa.
Choice C is incorrect because alcohol abuse is not a primary symptom of anorexia nervosa. While co-occurring substance abuse disorders can sometimes occur with eating disorders, this statement does not directly support the diagnosis of anorexia nervosa.
Choice D is incorrect because a lack of pleasure in life is a symptom commonly associated with depression, not specifically anorexia nervosa. While depression can co-
Question 2 of 5
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment.
Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service.
Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization.
Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.
Question 3 of 5
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, I'm just a failure. I'll never be anything but just a drunk. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's experience while offering hope and encouragement for learning from the relapse. It normalizes relapse as part of the recovery process and emphasizes the opportunity for growth and prevention in the future. Option B is incorrect as it reinforces a negative self-image and fatalistic view of alcoholism. Option C incorrectly links schizophrenia with alcohol abuse, potentially stigmatizing the client. Option D is not as therapeutic as A, as it does not address the client's negative self-perception or provide guidance for coping with relapse.
Question 4 of 5
The nurse understands that one of the many strategies of nonthreatening feedback is to limit the feedback to an appropriate time and place. While in the milieu, which nursing statement is an example of this strategy?
Correct Answer: A
Rationale:
Rationale:
A is the correct answer because it demonstrates the strategy of providing feedback at an appropriate time and place, which is the conference room after visiting hours. This allows for privacy and a conducive environment for discussion.
B, C, and D are incorrect because they do not consider the appropriateness of the time and place for feedback. B is insensitive to the patient's situation, C brings up a sensitive topic without regard for privacy, and D suggests discussing a grievance in a group setting, which may not be appropriate for addressing personal concerns.
Question 5 of 5
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale:
Correct Answer: B - Providing a consistent, structured environment with predictable routines
Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes.
Incorrect
Choices:
A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress.
C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities.
D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.