ATI RN
ATI NURS 4850 Mental Health Questions
Question 1 of 5
During a group therapy session
Correct Answer: A
Rationale: The correct answer is A because regression involves reverting to an earlier stage of development in response to stress. In this scenario, clients using multiple defense mechanisms may display regression by exhibiting childlike behaviors or speech patterns.
Choice B demonstrates rationalization, choice C shows sublimation, choice D indicates repression, and choice E reflects dissociation. These defense mechanisms are different from regression as they involve justifying actions, channeling emotions into a constructive outlet, suppressing memories, and disconnecting from surroundings, respectively.
Question 2 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Talk the client through tasks one step at a time. For individuals with Alzheimer's disease, breaking tasks into simple steps can help with comprehension and completion. This approach reduces confusion and frustration, promoting independence. Limiting time (
A) may increase agitation. Providing a changing schedule (
C) can be overwhelming. Rotating caregivers (
D) can lead to inconsistency.
Question 3 of 5
A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: C
Rationale: The correct answer is C: Decrease anxiety to a tolerable level. In the context of OCD, repetitive behaviors like picking up after others often serve as a coping mechanism to alleviate anxiety. It provides a sense of control and temporary relief from distressing thoughts. This behavior is a form of ritualistic compulsion aimed at reducing anxiety.
Choices A, B, and D are incorrect because the primary purpose of the behavior in OCD is not to limit interaction time, manipulate/control others, or focus on meaningless tasks.
Question 4 of 5
A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: B
Rationale: The correct answer is B: Increasing feelings of anger. This is an expected finding in clients with PTSD due to the intense emotional distress and feelings of violation experienced after a traumatic event like sexual assault. Anger is a common symptom of PTSD and can manifest as irritability or outbursts. This is a result of the individual's struggle to process the trauma and can be a coping mechanism. The other choices are incorrect because constant need to talk about the event (
A) may or may not occur, sleeping excessively (
C) is more indicative of depression, and increasing sense of attachment to others (
D) is not a typical symptom of PTSD but rather could be a sign of seeking comfort and support.
Question 5 of 5
A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Affective flattening. Negative symptoms in schizophrenia refer to deficits in emotional expression and motivation. Affective flattening is characterized by reduced emotional responsiveness, such as lack of facial expressions and poor eye contact. This is a negative symptom as it represents a decrease or absence of normal functions.
A: Bizarre behavior is a positive symptom, indicating the presence of abnormal behaviors.
B: Somatic delusions are also positive symptoms, involving false beliefs about the body.
D: Illogicality is a cognitive symptom, related to disorganized thinking rather than negative symptoms.