ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
A client on an inpatient psychiatric unit has a nursing diagnosis of nonadherence R/T antipsychotic medications. In which role is the nurse functioning when checking for"cheeking"?
Correct Answer: C
Rationale: The correct answer is C: Medication manager. Checking for "cheeking" refers to the nurse's role in ensuring that the client is not hiding or storing their medications in their mouth instead of swallowing them, which could lead to nonadherence. As a medication manager, the nurse is responsible for monitoring and overseeing the client's medication administration to promote adherence and safety. The other choices are incorrect because: A: Advocate - Advocacy involves supporting the client's rights and preferences, which is important but not directly related to checking for "cheeking". B: Educator - While educating the client about the importance of taking medications as prescribed is crucial, it does not specifically address the task of checking for "cheeking". D: Counselor - Counseling focuses on addressing emotional and psychological issues, which is not the primary concern when checking for "cheeking".
Question 2 of 5
A patient says to the nurse, "My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a chil" Which term applies to the patient's comment?
Correct Answer: B
Rationale: The correct answer is B: Transference. This term refers to the patient projecting feelings or emotions they have towards someone else, typically a significant figure from their past, onto the nurse. In this scenario, the patient is expressing comfort in talking to the nurse similar to the comfort they felt when talking to their deceased father, indicating a transference of emotions. A: Superego pertains to the internalized moral standards and values of an individual, not relevant in this context. C: Reality testing involves distinguishing between internal thoughts and external reality, which is not the focus of the patient's comment. D: Counter-transference refers to the nurse's emotional response towards the patient, not the patient's feelings towards the nurse.
Question 3 of 5
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Correct Answer: C
Rationale: The correct answer is C because feeling unusually happy when the patient's mood improves could indicate countertransference. Countertransference occurs when the nurse projects their own emotions onto the patient, potentially interfering with therapeutic boundaries. In this scenario, the nurse's emotional response may be a sign of unresolved issues or a personal connection to the patient's situation, which could impact the therapeutic relationship. A: The patient's reactions being realistic and appropriate does not necessarily indicate countertransference. B: The patient comparing the nurse to their parents may trigger personal feelings but does not directly suggest countertransference. D: Developing a trusting relationship is a positive aspect of therapeutic communication and does not inherently indicate countertransference.
Question 4 of 5
The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
Correct Answer: B
Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out. Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia. Choice C suggests social support for staying home, which is not a characteristic of agoraphobia. Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.
Question 5 of 5
During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?
Correct Answer: B
Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.