ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 9
A group of nurses is in a discussion about the homeless population in their community as a means for developing appropriate programs for this group. Which statement by one of the members indicates a need for the group to address the nurse's stereotypical thinking?
Correct Answer: C
Rationale: The correct answer is C because it reflects a stereotype that homeless individuals are unwilling to accept services, which may lead to biased assumptions and hinder effective program development. This statement implies a lack of understanding and empathy towards the homeless population. A: Choice A is incorrect because it acknowledges the resilience and resourcefulness of homeless individuals, which is not necessarily a stereotype or negative assumption. B: Choice B is incorrect because it recognizes the diversity within the homeless population, which is an important consideration but does not directly address stereotypical thinking. D: Choice D is incorrect because it presents a factual statement about the duration of homelessness but does not address stereotypical thinking or biases.
Question 2 of 9
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
Correct Answer: C
Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process. Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.
Question 3 of 9
The nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, I'm just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me. The nurse interprets these statements as indicative of which type of mood?
Correct Answer: C
Rationale: The correct answer is C: Expansive. Expansive mood is characterized by grandiosity, inflated self-esteem, and an exaggerated sense of importance. In this scenario, the client's belief of being extremely beautiful and desirable reflects a grandiose and exaggerated self-perception, which aligns with an expansive mood seen in manic episodes of bipolar disorder. Incorrect choices: A: Irritable - Irritable mood is marked by anger, frustration, and hostility, which are not reflected in the client's statements. B: Elevated - Elevated mood is characterized by increased energy and positivity but does not capture the grandiosity and exaggerated self-importance displayed by the client. D: Euphoric - Euphoric mood is an intense feeling of happiness and excitement, which does not fully encompass the grandiose and inflated self-esteem exhibited by the client.
Question 4 of 9
Which statement about crisis theory will provide a basis for nursing intervention?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): 1. A crisis is defined as an acute time-limited phenomenon: This is true according to crisis theory, as crises are temporary and time-bound. 2. Experienced as an overwhelming emotional reaction: Crises often lead to intense emotional responses due to the perceived threat or problem. 3. To a problem perceived as unsolvable: The crucial aspect of a crisis is the perception that the problem is insurmountable, leading to feelings of helplessness. Summary of Incorrect Choices: B: This choice implies a pre-existing maladaptive coping pattern, which is not a universal characteristic of individuals in crisis. C: Crisis typically arises from negative events that challenge an individual's well-being, not events that boost self-esteem. D: Nursing intervention is essential in crisis situations to help individuals cope and resolve the crisis, making this choice incorrect.
Question 5 of 9
A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis?
Correct Answer: B
Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.
Question 6 of 9
A 7-year-old boy is active in sports and has received a most-improved player award at his baseball tournament. According to Erikson, what describes this client's developmental task assessment?
Correct Answer: C
Rationale: The correct answer is C: Industry. According to Erikson's psychosocial theory, the developmental task for children around the age of 7 involves developing a sense of competence and accomplishment in their activities. The boy's achievement of the most-improved player award in his baseball tournament reflects his engagement in mastering skills and feeling successful in his endeavors, aligning with the concept of industry. Autonomy (A) typically refers to toddlers asserting their independence, while Identity (B) is associated with adolescents' exploration of personal identity. Initiative (D) focuses on preschoolers' curiosity and eagerness to explore the world.
Question 7 of 9
A client on a psychiatric unit tells the nurse,"I'm all alone in the world now, and I have no reason to live." Which response by the nurse would encourage further communication by the client?
Correct Answer: A
Rationale: The correct answer is A because it reflects active listening and empathy, which can encourage further communication. By acknowledging the client's feelings of loneliness and fear, the nurse shows understanding and creates a safe space for the client to share more. Choice B is incorrect because it implies judgment and may shut down communication. Choice C focuses on the nurse's experience rather than the client's, which is not helpful. Choice D offers false reassurance and minimizes the client's feelings, not addressing the underlying issues.
Question 8 of 9
A nurse is interviewing a 12-year-old boy who has been diagnosed with depression. The client's depression was triggered by the death of his father 2 years ago. The nurse interprets which comment made by the boy as reflecting egocentrism?
Correct Answer: A
Rationale: The correct answer is A because the statement reflects egocentrism, a characteristic of adolescent cognitive development where they believe they are the center of the world and attribute events to their actions or feelings. In choice A, the boy believes his yelling at his dad caused his death, showing a self-centered view of the situation. Choices B, C, and D do not demonstrate egocentrism as they focus on the boy's feelings, understanding of grief, and emotional attachment to his father without attributing causation to his actions.
Question 9 of 9
Bobby is a seven-year-old who attends second grade in a public school. His teacher notices that Bobby doesn't volunteer to answer questions or talk with the other children. When he does talk, he sometimes stutters, especially if he gets nervous or thinks the other children are looking at him. What is one type of treatment that might make Bobby feel more comfortable talking in class?
Correct Answer: C
Rationale: The correct answer is C: singing. Singing can help Bobby feel more comfortable talking in class by promoting relaxation, breath control, and confidence in his voice. Singing can also improve his speech fluency and rhythm, which may reduce his stuttering when talking. Additionally, singing can be a fun and engaging way for Bobby to express himself without feeling self-conscious. Other choices are incorrect because: A: scheduling a conference with his mother may not directly address Bobby's communication difficulties in class. B: psychodrama focuses on exploring emotions and thoughts through dramatic expression, which may not specifically target Bobby's speech issues. D: having a hearing assessment is not relevant to Bobby's stuttering and difficulty talking in class.