ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.
Question 2 of 5
A patient says, "All my life I've been surrounded by stupidity. Everything I buy breaks because the entire American workforce is incompetent." This patient is experiencing a
Correct Answer: B
Rationale: The correct answer is B: cognitive distortion. The patient is exhibiting cognitive distortion by making extreme and irrational generalizations based on their negative experiences. They are engaging in black-and-white thinking, where they see things in all-or-nothing terms. This type of distorted thinking can lead to feelings of hopelessness and helplessness. Self-esteem deficit (A) would involve negative feelings about oneself, which is not explicitly stated in the patient's statement. Deficit in motivation (C) refers to a lack of drive or desire to pursue goals, which is not evident in the patient's statement. Deficit in love and belonging (D) pertains to lacking social connections, which is not the focus of the patient's statement.
Question 3 of 5
While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.
Question 4 of 5
A kosher diet is to the Jewish client as a halal diet is to the:
Correct Answer: B
Rationale: The correct answer is B: Muslim client. Both kosher and halal dietary laws originate from religious texts (Torah and Quran, respectively). Both require specific guidelines for permissible foods and preparation methods. Muslims follow halal dietary laws, which are similar to kosher laws but have additional restrictions. The other choices (A, C, D) do not have dietary laws similar to kosher or halal, making them incorrect options.
Question 5 of 5
What is a nursing intervention for a depressed client who reports reduced interest and pleasures?
Correct Answer: A
Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.