ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A group of nursing students are reviewing information about Freud's personality structure. The students demonstrate understanding of this information when they identify the ability to form mutually satisfying relationships as a function of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Ego. The ability to form mutually satisfying relationships is a function of the ego in Freud's personality structure. The ego mediates between the id's instinctual drives and the superego's moral constraints, allowing individuals to interact with others in a socially acceptable manner. The ego helps balance personal desires with societal norms, enabling individuals to navigate relationships effectively. Incorrect Choices: A: Defense mechanisms - Defense mechanisms are strategies used by the ego to manage anxiety and protect the individual from distressing thoughts or feelings. While defense mechanisms play a role in coping with conflicts, they are not directly responsible for forming satisfying relationships. B: Unconscious - The unconscious contains repressed thoughts, memories, and desires that influence behavior. Although the unconscious plays a significant role in shaping personality, the ability to form satisfying relationships is not solely attributed to the unconscious. C: Id - The id represents innate, primal drives seeking immediate gratification. While the id influences behavior and desires, it is
Question 2 of 5
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. Christopher's ability to form positive relationships, excel in school, and maintain high academic performance despite experiencing neglect indicates resilience. Resilience refers to the ability to adapt positively in the face of adversity. His behavior shows that he is able to overcome his challenging circumstances and thrive. Temperament (A) refers to inherent traits that influence behavior, genetic factors (B) may play a role but do not fully explain his response, and the paradoxical effects of neglect (D) are not the strongest explanation in this context.
Question 3 of 5
A group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following?
Correct Answer: A
Rationale: The correct answer is A because sleep patterns are not constant across the lifespan. Sleep patterns change with age, with newborns sleeping the most and older adults typically experiencing changes in their sleep patterns. This is important for nursing students to understand to provide appropriate care. Choice B is correct because women do tend to report more problems with sleep compared to men due to hormonal fluctuations and other factors. Choice C is correct as working night shifts and sleeping during the day can disrupt the body's natural circadian rhythm, affecting sleep patterns. Choice D is correct as environmental influences on sleep can include factors such as noise, light, temperature, and stress, which can impact the quality of sleep.
Question 4 of 5
Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the day room with a visiting family member. It is obvious to the nurse this pattern has played out before. Violence is often escalated when family members or authority figures:
Correct Answer: D
Rationale: The correct answer is D: Engage in a power struggle. Engaging in a power struggle can escalate the situation by challenging the individual's sense of control and leading to increased anger and aggression. This behavior can further provoke the individual and worsen the situation. A: Using a soft tone of voice may not address the underlying issues causing the anger and can be perceived as patronizing. B: Moving away in fear can demonstrate avoidance behavior and may not effectively address the situation. C: Using simple words to communicate may not address the power dynamic at play and may not de-escalate the situation effectively. In summary, engaging in a power struggle can exacerbate the situation, while the other choices may not effectively address the root cause of the anger and aggression displayed by Larry.
Question 5 of 5
Which level of prevention activities would a nurse in an emergency department employ most often?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.