ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
Correct Answer: C
Rationale: The correct answer is C because in the family systems therapy model, triangulation occurs when one family member involves a third person to reduce tension between two. In this scenario, the son becomes the "third person" and may develop problematic symptoms (such as stress, acting out) due to the increased attention from the mother. This can lead to emotional and behavioral issues in the child. Choice A is incorrect because enjoying attention does not align with the typical response in triangulation. Choice B is incorrect as it focuses on blaming the father, which is not a direct consequence of triangulation. Choice D is incorrect as it implies resentment towards both parents, which is not always the case in triangulation.
Question 2 of 5
While assessing a client with schizophrenia, the client states, 'Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies.' The nurse interprets this statement as indicating which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Persecutory. This is because the client believes that the government is watching them and plotting against them, indicating a delusion of persecution. Grandiose delusions involve exaggerated beliefs of one's importance or abilities. Nihilistic delusions involve beliefs of non-existence or the end of the world. Somatic delusions involve beliefs about one's body being affected in some way. In this case, the client's belief aligns most closely with persecutory delusions, as they feel targeted and threatened by external forces.
Question 3 of 5
A nurse is preparing an in-service presentation about panic disorders and associated theories related to the cause. When describing the cognitive​behavioral concepts associated with panic disorders, which of the following would the nurse expect to address?
Correct Answer: B
Rationale: Step 1: Panic disorders involve intense periods of fear and physical symptoms. Step 2: Conditioned response is a key cognitive-behavioral concept where a neutral stimulus becomes associated with fear or panic. Step 3: Through repeated pairings, triggers can elicit panic attacks. Step 4: Personal losses, early separation, and dysfunctional family communication are not specific cognitive-behavioral concepts related to panic disorders.
Question 4 of 5
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
Correct Answer: C
Rationale: The correct answer is C because it suggests that the client may be seeking attention and validation through illness, which is characteristic of factitious disorder. The client's statement implies a pattern of feeling loved only when they were sick, indicating a potential motivation for feigning illness. Explanation: - A: This choice indicates a lack of nurturing throughout childhood, but it does not specifically point to seeking attention through illness. - B: Feeling loved only when achieving academic success does not directly relate to seeking attention through illness. - D: Feeling loved after a negative event (spanking) does not align with seeking attention through illness.
Question 5 of 5
A nurse is assessing an 8-year-old girl with a mood disorder. Which of the following would the nurse most likely expect to assess?
Correct Answer: B
Rationale: The correct answer is B: Behavioral problems. In children with mood disorders, behavioral problems are commonly observed, such as irritability, aggression, defiance, or hyperactivity. This is because children may have difficulty expressing their emotions verbally, leading to behavioral manifestations. Choices A, C, and D are less likely in a primary mood disorder assessment in a child, as they are more indicative of other conditions like anxiety disorders (C) or obsessive-compulsive disorder (D). While children with mood disorders may feel sad, it is more common for them to exhibit behavioral issues as a primary symptom.