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
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 3 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 4 of 5
The nursing student is experiencing a severe family crisis. In what way might this situation affect the student's performance in a psychiatric rotation?
Correct Answer: A
Rationale: The correct answer is A. The nursing student experiencing a severe family crisis might overidentify with clients, projecting their own needs onto them. This can lead to blurred professional boundaries and compromised care. Choice B is incorrect because fear of clients is more likely to stem from personal anxiety rather than a family crisis. Choice C is incorrect as feeling inadequate is a separate issue from overidentification. Choice D is incorrect because self-doubt due to lack of knowledge is not directly related to family crisis-induced overidentification.
Question 5 of 5
The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?
Correct Answer: B
Rationale: The correct answer is B because a verdict of not guilty by reason of insanity indicates that the client was unable to control their actions at the time of the crime due to a mental illness. This verdict focuses on the client's mental state during the commission of the offense, rather than their knowledge of right or wrong (Choice A), ability to assist in their defense (Choice C), or the role of mental illness in the crime (Choice D). Therefore, option B directly aligns with the legal concept of insanity defense, which emphasizes lack of control over actions as a result of mental illness.