ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hairball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
Correct Answer: B
Rationale: The correct answer is B: Trichotillomania. Trichotillomania is a disorder characterized by the compulsive urge to pull out one's hair, leading to hair loss. In this case, the young girl's behavior of pulling out hair to relieve tension and anxiety aligns with the symptoms of trichotillomania. Kleptomania (A) is the urge to steal items, not related to hair pulling. Pyromania (C) is the urge to set fires, not related to hair pulling. Intermittent explosive disorder (D) involves episodes of impulsive aggression, not related to hair pulling.
Question 2 of 5
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's han The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
Correct Answer: A
Rationale: The correct answer is A. In many Hispanic subcultures, including Mexican American culture, touch is commonly used during conversation as a form of connection and warmth. This behavior is considered a cultural norm and a way to establish rapport. The patient's actions are likely not intended to manipulate the nurse or control the relationship, as suggested in choices B and D. Choice C assumes the patient's behavior is solely driven by fear of being alone, which may not be the case. Overall, the most accurate analysis is that the patient is accustomed to touch as a cultural norm within Hispanic subcultures, making choice A the correct answer.
Question 3 of 5
A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Middle insomnia. This is because the client waking up during the night and having trouble returning to sleep is characteristic of middle insomnia, which refers to difficulty maintaining sleep in the middle of the night. Initial insomnia (A) is difficulty falling asleep at the beginning of the night. Terminal insomnia (B) is early morning awakening with an inability to return to sleep. Hypersomnia (C) is excessive daytime sleepiness, which is not indicative of the client's symptoms. Therefore, the correct interpretation in this scenario is middle insomnia.
Question 4 of 5
Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story. Choices A, B, and D are incorrect: A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings. B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion. D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.
Question 5 of 5
A nursing instructor is preparing a class lecture about cognitive behavioral therapy (CBT). Which of the following would the instructor use to best describe this process?
Correct Answer: D
Rationale: The correct answer is D because cognitive behavioral therapy (CBT) focuses on helping patients change their thoughts and behaviors to improve their mental health. In CBT, patients work collaboratively with the therapist to identify and challenge negative thought patterns and behaviors. By changing these cognitive distortions and maladaptive behaviors, patients can improve their emotional well-being. Choice A is incorrect because CBT is not about solving patients' problems for them, but rather empowering them to solve their own issues. Choice B is incorrect as it focuses solely on behavior modification and does not address the cognitive component of CBT. Choice C is incorrect because CBT aims to challenge and change distorted beliefs rather than reinforcing them.