ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, 'I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?' What diagnosis would the nurse suggest as a possibility for this student?
Correct Answer: B
Rationale: The correct answer is B: a stereotypic movement disorder. Stereotypic movement disorder involves repetitive, nonfunctional motor behavior such as hand flapping. In this case, the student's inability to stop moving her arms unless she sits on her hands aligns with the characteristics of stereotypic movement disorder. A tic disorder (choice
A) involves sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations. Developmental coordination disorder (choice
C) is characterized by difficulties with motor coordination. Normal development for the student's age (choice
D) would not explain the specific behavior described by the teacher.
Therefore, the most likely diagnosis for the student in this scenario is a stereotypic movement disorder.
Question 2 of 5
A patient was admitted to the hospital after a suicide attempt made after his daughter was killed in an automobile accident during which he had been driving and survived with only minor injuries. Even though the accident was unavoidable, he feels responsible. During the assessment interview, the patient begins to describe the last conversation he had with his daughter before he lost control of the automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He makes a visible attempt to 'straighten up' and smiles superficially at the nurse, stating, 'I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I'll be as good as new by tomorrow.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's minimization of his suicidal attempt and encourages him to acknowledge the severity of the situation. By stating that he will not be ready to go home by tomorrow, the nurse challenges the patient's attempt to downplay his emotions and the seriousness of his actions. This response shows empathy and concern for the patient's well-being, guiding him towards accepting the help and support he truly needs.
Choices A, B, and C are incorrect because:
A: While asking about the daughter and their relationship is important for building rapport, it does not address the immediate concern of the patient's suicidal attempt.
B: Agreeing with the patient's statement and suggesting a good night's rest minimizes the seriousness of the situation and fails to address the patient's emotional distress.
C: Questioning the patient's statement of being as good as new does not directly confront the seriousness of the suicide attempt and may not prompt the patient to reconsider his minimization of the situation.
Question 3 of 5
A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates rationalization by shifting blame onto the provoked person instead of taking responsibility for the abusive behavior. The person justifies their actions by claiming the other person provoked them, which is a common tactic used by abusers to avoid accountability.
Choice A lacks justification or reasoning for the behavior.
Choice B refers to a lack of impulse control, not rationalization.
Choice D shows introspection and self-awareness, which is not characteristic of rationalization. Thus, C is the best example of rationalization in this context.
Question 4 of 5
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: D
Rationale: The correct answer is D: Inpatient anger management group. An open group allows members to join or leave at any time, and new members can be added throughout the group's duration. In an inpatient setting, such as an anger management group, individuals may come and go due to varying lengths of stay. This flexibility in membership aligns with the characteristics of an open group.
Choice A (Outpatient smoking cessation group) is incorrect because outpatient groups typically have a set start and end date, making them more closed in nature.
Choice B (Community clinic psychoeducation group) is incorrect as these groups usually have a defined curriculum and limited spots, making them closed groups.
Choice C (Ambulatory psychotherapy group) is also incorrect as these groups often have a set number of sessions with the same members attending each session, making them more closed than open.
Question 5 of 5
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
Correct Answer: C
Rationale: The correct answer is C. Speaking to the patient in his native language may not necessarily be the most effective approach as not all individuals from the same culture speak the same language. It is important to recognize that language and culture are not always directly correlated. Demonstrating genuine interest (
A), avoiding assumptions (
B), and acquiring information about the patient's country (
D) are all crucial aspects of providing culturally competent care as they help in understanding the patient's background, beliefs, and values. However, assuming that speaking the patient's native language automatically promotes cultural competence overlooks the diversity within cultures.