ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment?
Correct Answer: A
Rationale: The correct answer is A: "Tell me about your siblings." This question is relevant because understanding family dynamics can provide insight into potential triggers for the client's behavior. Siblings can influence the client's social interactions and emotional support. Explanation of why other choices are incorrect: B: "Tell me what kind of music you like" is not directly relevant to assessing suicidal ideation in a client with conduct disorder. C: "Tell me how often do you drink alcohol" is important in some assessments, but not the priority in this scenario where suicidal threat is the main concern. D: "Tell me about your school schedule" is less critical than understanding family dynamics in assessing the client's suicidal threat.
Question 2 of 5
A patient was brought to the emergency department for an injury he received while working as a migrant worker. It soon becomes evident that the patient cannot speak English. A nurse on duty offers to find an interpreter so the patient can communicate with the medical staff. The nurse's offer is an example of which type of nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Cultural brokering. In this scenario, the nurse offering to find an interpreter for the patient demonstrates cultural brokering by facilitating communication between the patient and the medical staff despite the language barrier. Cultural brokering involves bridging the gap between different cultures to ensure effective communication and understanding in healthcare settings. Milieu therapy (A) focuses on creating a therapeutic environment, conflict resolution (B) involves resolving conflicts between individuals or groups, and structured interaction (D) refers to planned interactions with a specific purpose. In this case, the nurse's intervention goes beyond these options by directly addressing the cultural and communication needs of the patient.
Question 3 of 5
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 4 of 5
The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?
Correct Answer: D
Rationale: Step 1: Interpersonal differentiation is important in family systems as it refers to individual family members' ability to maintain their own identity while remaining connected to the family unit. Step 2: Assessing interpersonal differentiation helps the nurse understand how well family members can balance autonomy and connection within the family. Step 3: This assessment is crucial for identifying healthy functioning within the family system and potential issues related to boundaries, enmeshment, and rule acceptance. Step 4: In contrast, choices A, B, and C focus more on specific aspects of family dynamics, but they do not directly address individual family members' ability to maintain their identity within the system.
Question 5 of 5
In understanding the role of victim and perpetrator, the act of evidence collection is enhanced. What knowledge base assists in caring for the injured victim?
Correct Answer: D
Rationale: The correct answer is D, Medical-surgical nursing skills. Evidence collection in caring for injured victims requires knowledge of assessing and treating physical injuries, which falls under the domain of medical-surgical nursing. Legal aspects (A) are important for documentation but not direct care. Testifying in court (B) and collaborating with law practitioners (C) are not essential for providing immediate care to the victim. Therefore, D is the most relevant choice.