ATI RN
ATI Mental Health 1 Questions
Question 1 of 9
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.
Question 2 of 9
Which activity does a correctional nurse not fulfill within the corrections setting?
Correct Answer: C
Rationale: Correct Answer: C - Psychotherapy Rationale: 1. Correctional nurses focus on physical health, not mental health. 2. Psychotherapy is typically provided by mental health professionals. 3. Nurses may assess, maintain safety, and document patient progress. 4. Correctional settings prioritize security and medical care over psychotherapy.
Question 3 of 9
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.
Question 4 of 9
What is a nursing intervention for a depressed client who reports reduced interest and pleasures?
Correct Answer: A
Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.
Question 5 of 9
While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.
Question 6 of 9
A resource person's function is to give specific answers to specific questions, as a counselor's function is to:
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. A counselor's main function is to provide emotional support and guidance. 2. Listening to a client review feelings related to difficulties allows the counselor to understand the client's emotional state. 3. This understanding helps the counselor provide appropriate support and guidance. 4. Answer D aligns with the core function of a counselor, which is to listen and support clients emotionally. Summary: A: Incorrect. This choice focuses on providing information, which is not the primary function of a counselor. B: Incorrect. This choice pertains to collaborative care planning, not the emotional support role of a counselor. C: Incorrect. This choice refers to a different role, not that of a counselor providing emotional support.
Question 7 of 9
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.
Question 8 of 9
During assessment, the nurse asks a patient to explain what the following means: 'A penny saved is a penny earned.' The nurse is assessing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Abstract reasoning. This is because the patient is being asked to interpret and understand a proverb, which requires the ability to think conceptually and make connections between different ideas. Abstract reasoning involves thinking in symbols, understanding complex concepts, and drawing inferences. The other choices are incorrect because: A: Affect refers to emotions and mood, which are not directly related to interpreting a proverb. B: Attention relates to focus and concentration on a specific task, not interpreting abstract concepts like proverbs. C: Concentration involves the ability to focus on a task or information, but it does not necessarily involve abstract thinking or interpretation of concepts.
Question 9 of 9
A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: A
Rationale: The correct answer is A: Interrupted Family Processes. This nursing diagnosis is most appropriate because the family's ability to engage in their usual supportive and nurturing roles has been disrupted due to the traumatic event of losing their belongings in a house fire. The parents' inability to help their children with homework reflects a disruption in their usual family functioning. Choice B: Compromised Family Coping may seem relevant due to the family's current situation, but it does not specifically address the disruption in family processes caused by the house fire. Choice C: Ineffective Family Therapeutic Regimen Management does not apply as the family is not currently receiving any therapeutic treatment that they are unable to manage. Choice D: Caregiver Role Strain may be relevant if the parents were experiencing strain specifically related to caregiving responsibilities, but the primary issue in this scenario is the disruption in family processes rather than caregiver strain.