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
A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B because explaining the relationship between physical symptoms and psychological state helps the patient understand the connection, reducing anxiety and fear. Triggering flashbacks intentionally (A) can worsen symptoms. Encouraging repression of memories (C) can lead to increased distress. Supporting 'numbing' (D) may hinder emotional processing and can be maladaptive in the long term.
Question 3 of 5
Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?
Correct Answer: C
Rationale: The correct answer is C because it highlights the cyclical nature of poverty within the culture of poverty. Joblessness and lack of financial independence are characteristics of poverty that can lead to feelings of powerlessness and low self-esteem, which, in turn, perpetuate the cycle of poverty. This explanation aligns with the concept of the culture of poverty, which suggests that individuals in poverty are trapped in a cycle due to a combination of economic and social factors. Option A is incorrect because it oversimplifies the issue by focusing solely on individual willpower and motivation, ignoring systemic barriers that contribute to poverty. Option B is incorrect as it emphasizes a single aspect (lack of address for job applications) without addressing the broader cycle of poverty. Option D is incorrect as it suggests that poverty is solely inherited and ignores the role of societal structures in perpetuating poverty.
Question 4 of 5
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit
Question 5 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.