ATI RN
Virtual ATI Mental Health Assessment Questions
Question 1 of 5
A psychiatric-mental health nurse working in a Veteran's Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband's mental health problems, which response would the nurse most likely expect?
Correct Answer: A
Rationale: The correct answer is A because it highlights a common cultural belief in Asian communities that mental health issues can be attributed to physical causes like vitamin deficiencies. This response indicates the wife's potential perspective and understanding of her husband's mental health problems, which is important for the nurse to consider when providing support.
Choice B is incorrect as it perpetuates a negative stereotype about mental health issues being solely caused by war trauma.
Choice C is incorrect as it suggests severe symptoms of PTSD without considering the cultural context.
Choice D is incorrect as it focuses on the husband's behavior rather than his potential mental health issues and lacks cultural sensitivity.
Question 2 of 5
A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on which of the following?
Correct Answer: D
Rationale: The correct answer is D because a large group is more effective for dealing with a specific issue due to the diversity of perspectives and experiences that can be shared. In a large group, there are more opportunities for brainstorming, problem-solving, and support. This leads to a richer discussion and more comprehensive exploration of the issue at hand.
Choice A is incorrect because transference and countertransference issues can still arise in a large group setting.
Choice B is incorrect as group cohesiveness may actually be harder to achieve in a larger group.
Choice C is incorrect as a large group offers more potential interactions and relationships, not limited ones.
Question 3 of 5
A 4-year-old grabs toys from other children and says, 'I want that now!' From a psychoanalytic perspective, this behavior is a product of impulses originating in which system of the personality?
Correct Answer: A
Rationale: The correct answer is A: Id. According to psychoanalytic theory by Freud, the Id is the primitive and instinctual part of the mind that operates on the pleasure principle, seeking immediate gratification of needs and desires without considering consequences. In this scenario, the child grabbing toys impulsively and demanding immediate satisfaction aligns with the characteristics of the Id. The Ego, on the other hand, mediates between the Id and the external world, considering reality and consequences. The Superego represents internalized societal and parental values, regulating moral and ethical behavior. The Preconscious refers to thoughts that are not currently in awareness but can be easily brought to consciousness.
Question 4 of 5
A female client is diagnosed with panic disorder. The client tells the nurse that she hasn't left her house in more than a month because she was afraid of another attack. She visited the mental health clinic today only because her son brought her. Which nursing diagnosis would be a priority for this client?
Correct Answer: D
Rationale: The correct answer is D: Social Isolation related to fear of recurrence of anxiety symptoms. This is the priority nursing diagnosis for the client because her inability to leave the house due to fear of another panic attack has led to significant social isolation. This isolation can exacerbate her anxiety and impact her overall well-being. By addressing social isolation, the nurse can help the client reconnect with the community and support systems, which is crucial for managing panic disorder.
Choice A (Powerlessness related to symptoms of anxiety) is incorrect because while the client may feel powerless, the immediate concern is the social isolation impacting her daily functioning.
Choice B (Decisional Conflict related to fear of leaving the house) is incorrect as the client's issue is more about the consequences of not leaving the house rather than a decisional conflict.
Choice C (Ineffective Family Coping related to symptoms of anxiety) is also incorrect as the focus should be on the client's own coping mechanisms and isolation rather than the family's coping strategies.
Question 5 of 5
Which nursing intervention within the community is aimed at reducing the residual defects that are associated with severe or chronic mental illness?
Correct Answer: A
Rationale: The correct answer is A because referring clients for aftercare services like day treatment programs can provide ongoing support and resources for managing severe or chronic mental illness, aiming to reduce residual defects. This intervention helps individuals access specialized care and therapies that target their specific needs, promoting recovery and minimizing long-term consequences.
Choice B is incorrect as it focuses on providing care after assessing symptoms, which may not necessarily address residual defects associated with severe or chronic mental illness.
Choice C is incorrect as it targets a different population and goal unrelated to reducing residual defects in severe mental illness.
Choice D is incorrect as teaching mental health concepts to groups in the community may raise awareness but does not directly address reducing residual defects in severe or chronic mental illness.