ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
A nurse identifies a nursing diagnosis of chronic low self-esteem. Which statement by a patient would support this nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: "I never do anything right." This statement reflects a consistent negative self-perception and a lack of self-worth, which aligns with chronic low self-esteem. The patient attributes all their actions as failures, indicating a deep-rooted belief in their inadequacy. Choices A, B, and C focus on specific physical attributes or external factors, which do not directly relate to self-esteem issues. In contrast, choice D directly addresses the patient's perception of themselves and their abilities, supporting the nursing diagnosis of chronic low self-esteem.
Question 2 of 5
During an interview, a patient states, 'I feel so guilty, and I'm so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Negative emotion. The patient expressing guilt and shame indicates a negative emotion, as these feelings are typically associated with self-blame and remorse. This suggests the patient may be experiencing distress or psychological burden. Choices B, C, and D are incorrect as they do not accurately reflect the patient's emotional state. Positive emotion (B) would be indicated by expressions of joy or happiness. Borderline emotion (C) typically refers to a specific personality disorder, not a general emotional state. Nonemotion (D) implies a lack of emotional response, which is not the case here.
Question 3 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 4 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 5 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.