ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following?
Correct Answer: B
Rationale: The correct answer is B because children often use fantasy to cope with their understanding of loss, as their cognitive development is not fully mature. Children may create alternate realities to help them process and make sense of difficult emotions. This coping mechanism is a common way for children to fill in the gaps in their understanding of loss. A is incorrect because children grieve differently based on their age and developmental stage. C is incorrect because families may grieve at different times, influenced by cultural, individual, and familial factors. D is incorrect because children and adults have different cognitive and emotional abilities, leading to unique ways of grieving.
Question 2 of 5
While interviewing a client diagnosed with a delusional disorder, the client states, 'I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I've seen so many doctors, and they can't tell me what's wrong.' The nurse interprets the client's statement as reflecting which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Somatic. This is because the client's belief about having a strange odor coming out of their mouth, despite medical professionals not finding any physical cause, aligns with a somatic delusion. Somatic delusions involve false beliefs about one's body, health, or appearance. In this case, the client's preoccupation with the perceived odor falls under the somatic delusion category. Explanation for other choices: A: Erotomanic delusions involve the belief that someone, usually of higher status, is in love with the individual. This does not align with the client's statement about the strange odor. B: Grandiose delusions involve exaggerated beliefs about one's importance, power, or abilities. The client's statement about the strange odor does not reflect grandiosity. D: Jealous delusions involve unfounded beliefs about a partner's infidelity. This also does not relate to the client's statement about the odor.
Question 3 of 5
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
Correct Answer: C
Rationale: The correct answer is C because participating in a problem-solving group helps reinforce self-responsibility in clients with antisocial personality disorder. By actively engaging in the group and contributing to solving problems, the client learns to take ownership of their actions and decisions. This can lead to increased accountability and self-awareness. Explanation for why other choices are incorrect: A: Developing attachments is not the primary goal of a problem-solving group for clients with antisocial personality disorder. B: While setting boundaries is important, it is not the main focus of a problem-solving group. D: Avoiding confrontation about dysfunctional patterns does not promote growth and self-responsibility, which is the main goal of the intervention.
Question 4 of 5
A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
Correct Answer: D
Rationale: The correct answer, D, is the most accurate definition of biosexual identity. Biosexual identity refers to the anatomic and physiologic state of being male or female, which is determined by biological factors such as chromosomes, hormones, and reproductive anatomy. This definition focuses on the physical aspects of gender and is not influenced by personal convictions, outward expressions, or sexual attraction. Choices A, B, and C are incorrect because they do not specifically address the biological aspects of gender identity, which are central to understanding biosexual identity. Choice A focuses on personal conviction, choice B on outward expression, and choice C on sexual attraction, all of which are separate from the biological determinants of gender.
Question 5 of 5
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.