ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 9
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 9
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 9
Which patient has the greatest risk for suicide?
Correct Answer: A
Rationale: The correct answer is A because the patient's behavior of searching for child pornography indicates a high risk for acting on harmful impulses. This behavior is illegal and harmful to children, suggesting severe mental health issues. Choice B may indicate relationship problems but not immediate risk of harm. Choice C involves inappropriate behavior but not necessarily self-harm. Choice D indicates concerning thoughts but not immediate risk of harm to oneself. Suicidal risk is highest when an individual shows dangerous behaviors or intentions, such as in choice A.
Question 4 of 9
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 5 of 9
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.
Question 6 of 9
A patient was brought to the emergency department for an injury he received while working as a migrant worker. It soon becomes evident that the patient cannot speak English. A nurse on duty offers to find an interpreter so the patient can communicate with the medical staff. The nurse's offer is an example of which type of nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Cultural brokering. In this scenario, the nurse offering to find an interpreter for the patient demonstrates cultural brokering by facilitating communication between the patient and the medical staff despite the language barrier. Cultural brokering involves bridging the gap between different cultures to ensure effective communication and understanding in healthcare settings. Milieu therapy (A) focuses on creating a therapeutic environment, conflict resolution (B) involves resolving conflicts between individuals or groups, and structured interaction (D) refers to planned interactions with a specific purpose. In this case, the nurse's intervention goes beyond these options by directly addressing the cultural and communication needs of the patient.
Question 7 of 9
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 8 of 9
The nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a potential side effect of long-term antipsychotic use, including chlorpromazine. It is characterized by involuntary repetitive movements, such as lip smacking or tongue protrusion. The nurse should monitor the client for early signs of tardive dyskinesia to prevent irreversible damage. Choices A, B, and C are incorrect: A: Weight loss is not typically associated with chlorpromazine use; in fact, weight gain is more common. B: Torticollis is a condition characterized by a twisted neck, which is not a common side effect of chlorpromazine. C: Hypoglycemia is not a known side effect of chlorpromazine; instead, it is more commonly associated with other medications like insulin or sulfonylureas.
Question 9 of 9
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.