ATI RN
ATI RN Mental Health 2023 Questions
Question 1 of 5
A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?
Correct Answer: C
Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.
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
A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?
Correct Answer: C
Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.
Question 4 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 5 of 5
The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?
Correct Answer: C
Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.