ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: A
Rationale: The correct answer is A: Interrupted Family Processes. This nursing diagnosis is most appropriate because the family's ability to engage in their usual supportive and nurturing roles has been disrupted due to the traumatic event of losing their belongings in a house fire. The parents' inability to help their children with homework reflects a disruption in their usual family functioning. Choice B: Compromised Family Coping may seem relevant due to the family's current situation, but it does not specifically address the disruption in family processes caused by the house fire. Choice C: Ineffective Family Therapeutic Regimen Management does not apply as the family is not currently receiving any therapeutic treatment that they are unable to manage. Choice D: Caregiver Role Strain may be relevant if the parents were experiencing strain specifically related to caregiving responsibilities, but the primary issue in this scenario is the disruption in family processes rather than caregiver strain.
Question 2 of 5
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?
Correct Answer: A
Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications. Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.
Question 3 of 5
While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.
Question 4 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.
Question 5 of 5
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.