ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
A college student received an invitation to attend the wedding of a close friend who lives across the country. The student is afraid of flying. Which type of therapy would be most helpful for this patient?
Correct Answer: C
Rationale: The correct answer is C: Systematic desensitization. This therapy gradually exposes the patient to their fear in a controlled manner to reduce anxiety. In this case, the student's fear of flying can be addressed by incrementally exposing them to flying-related stimuli, helping them build confidence and reduce fear. Choice A (Psychoanalysis) focuses on exploring unconscious thoughts and childhood experiences, not directly addressing the fear of flying. Choice B (Aversion therapy) involves associating a negative stimulus with the unwanted behavior, which may not be effective for overcoming a fear of flying. Choice D (Short-term dynamic therapy) is a brief form of psychoanalytic therapy, but it may not provide the structured approach needed to address specific phobias like fear of flying.
Question 2 of 5
While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?
Correct Answer: A
Rationale: The correct answer is A: Boundaries. In the structural family system model by Minuchin, boundaries refer to the rules and limits that define the relationships between family members. By focusing on boundaries, the nurse can assess how family members interact and communicate with each other, which is crucial in understanding the family dynamics and identifying potential issues. Emotional cutoff (B) refers to avoiding emotional connections, sibling position (C) relates to birth order and its impact, and family projection process (D) is about parents projecting their own issues onto their children. These concepts are important but not the primary focus of the structural family system model assessment.
Question 3 of 5
When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be male. This change in identity is considered:
Correct Answer: C
Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.
Question 4 of 5
After delivery, a devoutly religious client is diagnosed with postpartum depression. The client states,"No one can help me. I was an evil teenager and I must pay." Knowing the effects of cultural influences, how would the nurse interpret this statement?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. The client's statement reflects a belief that their past actions are causing their current suffering. 2. This belief is consistent with the cultural influence of certain religions where illness is seen as punishment for sins. 3. The client's reference to being an "evil teenager" aligns with the idea of personal responsibility for suffering. 4. This interpretation is supported by understanding how religious beliefs can impact perceptions of illness and help-seeking behaviors. Summary: - Choice A is incorrect because the client is not exhibiting delusions of persecution, but rather expressing a belief in personal responsibility. - Choice B is incorrect as the client's statement indicates a deeper issue related to religious beliefs, not simply wanting to be left alone. - Choice C is incorrect as it generalizes all devoutly religious individuals, which is not necessarily true for all individuals within a religious group.
Question 5 of 5
On an inpatient psychiatric unit, which of the following actions exemplify the nurse's role of teacher?
Correct Answer: C
Rationale: Rationale: - Choice C is correct because teaching involves presenting information to enhance understanding. - Teaching aids in promoting client and family knowledge about mental illness. - This empowers them to make informed decisions and participate in treatment. - Choices A and B involve assessment and orientation tasks, not directly related to teaching. - Choice D focuses on maintaining a therapeutic environment, not teaching content.