ATI RN
Mental Health Practice B ATI Questions
Question 1 of 5
A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse,"I'm really nervous about having ECT tomorrow." Which would be the best nursing response?
Correct Answer: B
Rationale: The correct answer is B. This response acknowledges the client's feelings, opens up communication, and allows the nurse to address specific concerns. It shows empathy and encourages the client to express their fears, leading to better understanding and support. Choice A is incorrect because offering medication without exploring the client's concerns may not address the root of their anxiety. Choice C is incorrect as it dismisses the client's feelings and suggests that their fears are unfounded. Choice D is incorrect because it focuses on the doctor's expertise, which may not alleviate the client's anxiety about the procedure.
Question 2 of 5
At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?" During the assessment of
Correct Answer: D
Rationale: The correct answer is D: coping strategies. This question is most relevant during the assessment of coping strategies because it directly pertains to how an individual copes with stress. By asking about the role of faith in stressful situations, the nurse can gain insight into the patient's coping mechanisms and support systems. This information can help tailor interventions to better support the patient's emotional and spiritual needs. A: childhood growth and development - This question is not directly related to childhood growth and development. B: substance use and abuse - This question focuses on a different aspect of the patient's life and does not address coping mechanisms. C: educational background - This question does not probe into the patient's coping strategies but rather focuses on their educational history.
Question 3 of 5
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromanti Which defense mechanism is evident?
Correct Answer: A
Rationale: The correct answer is A: Rationalization. Rationalization is a defense mechanism where individuals justify unacceptable behaviors or feelings by providing logical reasons or excuses. In this scenario, blaming the partner's attractiveness and romantic nature for one's sexual dysfunction is an example of rationalization. The individual is deflecting responsibility by attributing the issue to external factors. Summary of other choices: B: Compensation involves making up for a perceived weakness by emphasizing a strength. This is not evident in the scenario. C: Introjection involves internalizing external beliefs or values. Blaming the partner does not align with this defense mechanism. D: Regression involves reverting to an earlier stage of development in response to stress or conflict. This is not demonstrated in the scenario.
Question 4 of 5
When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. Cultural competence is essential in mental health care. 2. Hispanic Americans may avoid mental health facilities that do not accommodate their cultural needs. 3. Lack of cultural accommodation may lead to mistrust and reluctance to seek help. 4. Choosing resources that align with their cultural values is more likely. Summary: A, B, and C are incorrect because they do not address the cultural aspect of seeking mental health care among Hispanic Americans. Answer choice D is correct because it highlights the importance of cultural sensitivity in mental health services for this population.
Question 5 of 5
During an interview, a patient tells the nurse that he was recently let go from his job. As the interaction continues, the patient states, 'I was really overqualified for that position anyway. It was definitely below my area of expertise.' The nurse interprets this information as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intellectualization. Intellectualization is a defense mechanism where a person deals with emotional conflicts or stressors by focusing on the intellectual aspects of a situation rather than the emotional aspects. In this case, the patient is discussing their job loss in a detached, analytical manner by emphasizing their overqualification and expertise, which deflects from the emotional impact of losing the job. A: Denial involves refusing to acknowledge or accept a reality. The patient is not denying the job loss but rather rationalizing it. C: Projection involves attributing one's own thoughts, feelings, or motives to others. The patient is not projecting their own feelings onto someone else. D: Passive aggression involves expressing negative feelings indirectly. The patient's statement does not reflect indirect hostility, but rather a coping mechanism through intellectualization.