ATI RN
Mental Health Practice B ATI Questions
Question 1 of 5
A nurse is leading a group on an adolescent psychiatric unit. A new member in the group is from out of state; his accent and his way of dressing set him apart from the other patients; and it is obvious that the group, for the most part, dislikes this patient. During the group session, the nurse has the members draw the emotion they are feeling and then has them present their drawings and explain them to the group. Which of the following would be the most effective way to address the group's dislike for the new member?
Correct Answer: C
Rationale: The correct answer is C: Compliment the patient when he presents his drawing. By complimenting the patient when he presents his drawing, the nurse can help shift the group's negative attitude towards the new member. This approach promotes positivity and encourages the group to see the new member in a different light. It also fosters a more supportive and inclusive environment within the group. Skipping him when it is his turn to present his drawing (choice A) would only further isolate the new member and perpetuate the negative feelings towards him. Letting the patient talk last so the others will not have time to make fun of him (choice B) does not address the underlying issue of dislike and may not effectively change the group dynamics. Demanding that each member of the group tell the patient why they dislike him (choice D) can be confrontational and may escalate the situation, leading to more negativity and hostility.
Question 2 of 5
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 5
A client with bipolar disorder has had a history of multiple episodes and states, I'm so frustrated with what's happened because of these episodes. Which of the following would the nurse encourage to help support this client's recovery?
Correct Answer: B
Rationale: The correct answer is B: Hope. Encouraging hope is essential for supporting a client with bipolar disorder as it fosters a positive outlook and motivation for recovery. Hope can help the client stay resilient during challenging times. Codependence (A) may enable maladaptive behaviors. Self-control (C) may be difficult for someone with bipolar disorder during episodes. Independent decision making (D) may be overwhelming without proper support. In summary, hope is crucial for maintaining optimism and perseverance in the recovery process.
Question 4 of 5
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 5 of 5
The nurse is giving a presentation comparing and contrasting autism disorder and Asperger syndrome. Which of the following would the nurse include as differentiating Asperger syndrome from autism disorder?
Correct Answer: B
Rationale: The correct answer is B because individuals with Asperger syndrome typically display age-appropriate intelligence, whereas individuals with autism disorder may have varying levels of intellectual functioning. This difference is crucial in distinguishing between the two conditions. A: Children with Asperger syndrome can engage in stereotypic behavior, similar to autism disorder. C: Reversing pronouns is a common feature in both Asperger syndrome and autism disorder, so it does not differentiate the two. D: Both Asperger syndrome and autism disorder can present with social difficulties, including appearing aloof and indifferent to others.