ATI RN
ATI RN Mental Health 2023 Questions
Question 1 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: Step 1: The behavior of grabbing toys impulsively and demanding them immediately reflects primitive, instinctual desires. Step 2: The Id, as per psychoanalytic theory by Freud, operates on the pleasure principle, seeking immediate gratification of basic needs and desires. Step 3: The Id is present from birth and represents innate drives such as hunger, aggression, and pleasure. Step 4: In this scenario, the child's impulsive and immediate desire for toys aligns with the characteristics of the Id. Summary: The other choices are incorrect because the Ego focuses on reality and mediates between the Id and Superego, the Superego represents internalized societal norms and values, and the Preconscious is part of the mind that holds thoughts not currently in awareness.
Question 2 of 5
Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.
Question 3 of 5
According to Maslow's hierarchy of needs, which client action would be an example of a highly evolved, mature client?
Correct Answer: C
Rationale: Rationale: According to Maslow's hierarchy of needs, self-fulfillment is the highest level of need, representing personal growth and reaching one's full potential. This is known as self-actualization. Clients who discuss feelings of self-fulfillment are considered highly evolved and mature as they have satisfied lower-level needs and are focused on personal growth. Choices A, B, and D relate to lower levels of needs such as safety, belongingness, and esteem respectively, which are not as advanced as self-fulfillment. Therefore, choice C is the correct answer as it aligns with the highest level of need in Maslow's hierarchy.
Question 4 of 5
Which statement made by a new mother should be explored further by the nurse?
Correct Answer: B
Rationale: The correct answer is B because the statement suggests a potential misunderstanding or negative perception of the baby's behavior. The nurse should explore further to address any underlying issues, provide education, and offer support. Choice A is a personal decision. Choice C reflects a common desire for support. Choice D is a general acknowledgment of the challenges of parenting. By exploring statement B, the nurse can ensure the well-being of both the mother and the baby.
Question 5 of 5
The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.