ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.
Question 2 of 5
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
Correct Answer: B
Rationale: Rationale: 1. Lorazepam is a fast-acting benzodiazepine used for acute anxiety relief. 2. It acts quickly to reduce anxiety symptoms. 3. Buspirone is not suitable for acute relief as it takes weeks to show effectiveness. 4. Amitriptyline and desipramine are tricyclic antidepressants, not fast-acting anxiolytics.
Question 3 of 5
A psychiatric-mental health nurse is providing care for a patient with a mental disorder. The patient is participating in the decision-making process. The nurse interprets this as which component of recovery?
Correct Answer: B
Rationale: The correct answer is B: Empowerment. Empowerment is the process of enabling individuals to take control of their own lives and make informed decisions. In the context of mental health recovery, when a patient actively participates in the decision-making process, it signifies empowerment. This component is crucial in fostering autonomy and self-determination in individuals with mental disorders. Why the other choices are incorrect: A: Self-direction typically refers to the ability of individuals to make choices and set goals for themselves, but it may not necessarily involve active participation in decision-making processes with healthcare providers. C: Person-centered care focuses on tailoring treatment to individual preferences and needs, but it does not solely address the active involvement of the patient in decision-making. D: Holistic care considers the whole person - mind, body, and spirit - but it does not specifically address the patient's active participation in decision-making.
Question 4 of 5
A nursing instructor is describing the nurse-patient relationship to a group of nursing students. Which of the following would the instructor emphasize as crucial for establishing and maintaining the relationship?
Correct Answer: C
Rationale: The correct answer is C: Self-awareness. Self-awareness is crucial in the nurse-patient relationship as it involves understanding one's own thoughts, emotions, values, and biases. This awareness helps nurses maintain objectivity, empathy, and effective communication with patients. By being self-aware, nurses can identify and manage their own feelings and reactions, leading to better understanding and connection with patients. Rationale for other choices: A: Rapport is important in building relationships, but self-awareness is essential for understanding and managing one's own behaviors and reactions within the relationship. B: Empathy is crucial for understanding and sharing patients' emotions, but self-awareness is fundamental for ensuring empathy is genuine and not influenced by personal biases. D: Values are important in guiding ethical decision-making, but self-awareness is necessary for recognizing how personal values may affect the nurse-patient relationship.
Question 5 of 5
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The patient's behavior of monopolizing the conversation in a group therapy setting is likely a manifestation of anxiety. This behavior can be a coping mechanism to divert attention away from their own discomfort and vulnerability. By dominating the conversation, the patient may be attempting to maintain a sense of control and avoid facing their own underlying fears and anxieties. This behavior may also stem from a fear of being judged or feeling inadequate in the group setting. Choices B, C, and D are incorrect because anger, rebellion, and fear do not align as clearly with the behavior described in the scenario. Anger typically involves a different expression, rebellion would manifest differently, and fear would manifest more as withdrawal or avoidance rather than dominating the conversation.