ATI RN
Mental Health Practice B ATI Questions
Question 1 of 9
A nurse determines that a patient has poor social skills that have interfered with his ability to engage others, which has contributed to his feelings of purposelessness, hopelessness, and withdrawal. Which of the following would be most important to assist the patient in beginning to social skills?
Correct Answer: C
Rationale: The correct answer is C: Nurse-patient relationship. Building a strong therapeutic alliance is crucial in addressing the patient's poor social skills. A trusting relationship with the nurse can provide a safe space for the patient to explore and improve their social interactions. The nurse can offer guidance, support, and feedback to help the patient develop social skills. Self-help and recovery groups may be beneficial later on, but initially, the focus should be on building a therapeutic relationship. Limit setting is not directly related to improving social skills and may not address the underlying issues contributing to the patient's difficulties.
Question 2 of 9
A nurse determines that a patient has poor social skills that have interfered with his ability to engage others, which has contributed to his feelings of purposelessness, hopelessness, and withdrawal. Which of the following would be most important to assist the patient in beginning to social skills?
Correct Answer: C
Rationale: The correct answer is C: Nurse-patient relationship. Building a strong therapeutic alliance is crucial in addressing the patient's poor social skills. A trusting relationship with the nurse can provide a safe space for the patient to explore and improve their social interactions. The nurse can offer guidance, support, and feedback to help the patient develop social skills. Self-help and recovery groups may be beneficial later on, but initially, the focus should be on building a therapeutic relationship. Limit setting is not directly related to improving social skills and may not address the underlying issues contributing to the patient's difficulties.
Question 3 of 9
A nurse is working as part of an interdisciplinary treatment team for a client diagnosed with a mental illness and substance abuse disorder. As part of the recovery process, which of the following would be most important for the team to do initially?
Correct Answer: D
Rationale: The correct answer is D: intense emotional pressure. Initially, applying intense emotional pressure in a sensitive and supportive manner can help the client realize the seriousness of their situation and motivate them to engage in treatment. This approach can create a sense of urgency and importance for the client to address their mental illness and substance abuse disorder. It aims to evoke emotions that may prompt the client to reconsider their behaviors and choices, leading them to seek help voluntarily. Choices A, B, and C are incorrect because they advocate for coercive and authoritarian approaches that can potentially harm the therapeutic relationship and hinder the client's progress. Short-term hospitalizations, leveraging pressure, establishing strict rules, and using heavy confrontation can lead to resistance, defiance, and further alienation of the client. It is essential to prioritize building trust, fostering collaboration, and promoting autonomy in the early stages of treatment to establish a foundation for successful recovery.
Question 4 of 9
During an interview, a patient tells the nurse that he was recently let go from his job. As the interaction continues, the patient states, 'I was really overqualified for that position anyway. It was definitely below my area of expertise.' The nurse interprets this information as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intellectualization. Intellectualization is a defense mechanism where a person deals with emotional conflicts or stressors by focusing on the intellectual aspects of a situation rather than the emotional aspects. In this case, the patient is discussing their job loss in a detached, analytical manner by emphasizing their overqualification and expertise, which deflects from the emotional impact of losing the job. A: Denial involves refusing to acknowledge or accept a reality. The patient is not denying the job loss but rather rationalizing it. C: Projection involves attributing one's own thoughts, feelings, or motives to others. The patient is not projecting their own feelings onto someone else. D: Passive aggression involves expressing negative feelings indirectly. The patient's statement does not reflect indirect hostility, but rather a coping mechanism through intellectualization.
Question 5 of 9
Martha is a school nurse who is assessing an only child who had an outburst in class. It has been noted by the child's teacher that he is having difficulty focusing in class. When he gets frustrated, he sometimes loses his temper and the teacher is afraid he might hurt himself or someone else. What might some of the child's symptoms indicate?
Correct Answer: B
Rationale: The correct answer is B: undiagnosed ADHD. The child's difficulty focusing, outbursts, and impulsive behavior are common symptoms of ADHD. ADHD can lead to emotional dysregulation, which may result in temper outbursts and difficulty controlling emotions. The child's behavior is not indicative of a learning disability (A) as it primarily involves attention and behavior rather than academic challenges. It is also not a normal developmental phase (C) as the symptoms are impacting the child's ability to function in the classroom. Lastly, the behavior is not solely due to being an only child (D) as it does not address the underlying neurological factors associated with ADHD.
Question 6 of 9
Secondary effects of abuse often manifest as arrested development in children due to the fact that:
Correct Answer: B
Rationale: The correct answer is B because when children experience abuse, their energy and resources are directed towards coping mechanisms to survive, rather than towards healthy development. This diversion of energy can hinder their emotional, cognitive, and social growth, leading to arrested development. Choice A is incorrect because coping with abuse is actually very challenging and can impede emotional growth. Choice C is incorrect because children can often differentiate between love and abuse, but may struggle to seek help due to fear or confusion. Choice D is incorrect because abuse does not foster a sense of belonging; rather, it creates a harmful environment that can lead to further emotional damage.
Question 7 of 9
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced Nutrition: Less Than Body Requirements. In anorexia nervosa, clients typically have a distorted body image and intense fear of gaining weight, leading to restrictive eating behaviors. The behavioral plan for increasing weight directly addresses the issue of inadequate nutrition intake, which aligns with the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. The other options, such as A: Disturbed Body Image, B: Anxiety, and D: Ineffective Coping, may be secondary to the primary issue of malnutrition but are not the focus of the behavioral plan aimed at increasing weight in this case.
Question 8 of 9
According to Maslow's hierarchy of needs, which situation demonstrates the lowest level of attainment?
Correct Answer: B
Rationale: Correct Answer: B Rationale: In Maslow's hierarchy of needs, the lowest level is physiological needs which include safety needs. Choice B reflects maintaining physical safety, which is a fundamental requirement for survival. This is prioritized before self-actualization (choice A), love and belonging (choice C), and esteem needs (choice D). Therefore, choice B is the correct answer as it aligns with the foundational aspect of Maslow's hierarchy. Summary of Other Choices: - A: Discussing all points of view and possessing ethics falls under self-actualization, a higher-level need. - C: Establishing interpersonal relationships and group identity falls under love and belonging needs, a higher-level need. - D: Desiring prestige from personal accomplishments falls under esteem needs, a higher-level need.
Question 9 of 9
Which statement by a patient would lead the nurse to suspect unsuccessful completion of the psychosocial developmental task of infancy?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Infancy's developmental task is trust vs. mistrust, forming trust in others. 2. Patient not allowing others to know them suggests inability to form trusting relationships. 3. Choice B aligns with the mistrust aspect of infancy development. 4. Choices A, C, D do not directly relate to the trust vs. mistrust developmental task.