ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 9
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, I'm just a failure. I'll never be anything but just a drunk. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's experience while offering hope and encouragement for learning from the relapse. It normalizes relapse as part of the recovery process and emphasizes the opportunity for growth and prevention in the future. Option B is incorrect as it reinforces a negative self-image and fatalistic view of alcoholism. Option C incorrectly links schizophrenia with alcohol abuse, potentially stigmatizing the client. Option D is not as therapeutic as A, as it does not address the client's negative self-perception or provide guidance for coping with relapse.
Question 2 of 9
An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
Correct Answer: B
Rationale: The correct answer is B because it focuses on the perpetrator recognizing destructive patterns and learning alternate responses, which are essential in addressing and preventing abusive behavior. This outcome promotes long-term change by targeting the root cause of the abuse and promoting healthier behaviors. A: Decreasing family interaction does not address the underlying issues of abuse and may not lead to behavior change in the perpetrator. C: Removing the perpetrator from the family may not address the root cause of the abuse and may not lead to sustainable change. D: While a combination of treatment modalities can be beneficial, the focus should be on addressing the behavioral patterns and mindset of the perpetrator.
Question 3 of 9
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: The correct answer is B: Withdrawal symptoms. Benzodiazepines are known for causing physical dependence, leading to withdrawal symptoms if stopped abruptly. The nurse must emphasize this risk to the client with panic disorder to prevent potential harm. Dietary restrictions (A) are not typically associated with benzodiazepine use. Agitation (C) can be a side effect but is not a primary risk. Fecal impaction (D) is not directly related to benzodiazepine use. It is crucial for the nurse to educate the client on the importance of gradually tapering off the medication to avoid withdrawal symptoms.
Question 4 of 9
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.
Question 5 of 9
The nurse understands that one of the many strategies of nonthreatening feedback is to limit the feedback to an appropriate time and place. While in the milieu, which nursing statement is an example of this strategy?
Correct Answer: A
Rationale: Rationale: A is the correct answer because it demonstrates the strategy of providing feedback at an appropriate time and place, which is the conference room after visiting hours. This allows for privacy and a conducive environment for discussion. B, C, and D are incorrect because they do not consider the appropriateness of the time and place for feedback. B is insensitive to the patient's situation, C brings up a sensitive topic without regard for privacy, and D suggests discussing a grievance in a group setting, which may not be appropriate for addressing personal concerns.
Question 6 of 9
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: D
Rationale: The correct answer is D: Inpatient anger management group. An open group allows members to join or leave at any time, and new members can be added throughout the group's duration. In an inpatient setting, such as an anger management group, individuals may come and go due to varying lengths of stay. This flexibility in membership aligns with the characteristics of an open group. Choice A (Outpatient smoking cessation group) is incorrect because outpatient groups typically have a set start and end date, making them more closed in nature. Choice B (Community clinic psychoeducation group) is incorrect as these groups usually have a defined curriculum and limited spots, making them closed groups. Choice C (Ambulatory psychotherapy group) is also incorrect as these groups often have a set number of sessions with the same members attending each session, making them more closed than open.
Question 7 of 9
A 26-month-old displays negative behavior, refuses toilet training, and often says, 'No!' Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, the child is in the toddler stage according to Erikson's psychosocial development theory. During this stage, children are developing a sense of autonomy and independence. The negative behavior, refusal of toilet training, and saying 'No!' are all indicative of the child asserting their autonomy and testing boundaries. If the child is met with criticism or punishment for their attempts at independence, they may develop feelings of shame and doubt. This aligns with the psychosocial crisis of Autonomy versus shame and doubt. Summary of other choices: A: Trust versus mistrust - This crisis occurs in infancy, where the primary focus is on developing trust in the caregiver. Not applicable in this scenario. B: Initiative versus guilt - This crisis occurs in early childhood, focusing on taking initiative in activities. Not relevant to the behaviors described. C: Industry versus inferiority - This crisis occurs in middle childhood, emphasizing the development of
Question 8 of 9
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
Correct Answer: C
Rationale: The correct answer is C. Speaking to the patient in his native language may not necessarily be the most effective approach as not all individuals from the same culture speak the same language. It is important to recognize that language and culture are not always directly correlated. Demonstrating genuine interest (A), avoiding assumptions (B), and acquiring information about the patient's country (D) are all crucial aspects of providing culturally competent care as they help in understanding the patient's background, beliefs, and values. However, assuming that speaking the patient's native language automatically promotes cultural competence overlooks the diversity within cultures.
Question 9 of 9
While talking with a client with an eating disorder, the client states, 'I've gained 2 pounds, so soon I'll be over 100 pounds.' The nurse interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Dichotomous thinking. This is because the client is exhibiting a black-and-white type of thinking by assuming that gaining 2 pounds will immediately push them over 100 pounds, without considering the possibility of any in-between weights. Dichotomous thinking involves viewing situations in extreme, polarized terms, such as all-or-nothing, good-or-bad. In this case, the client's statement reflects a rigid and unrealistic perspective on weight gain. A: Magnification - This choice involves blowing things out of proportion or exaggerating the importance of certain events or attributes, which is not the case in the client's statement. B: Selective abstraction - This choice refers to focusing on a single detail while ignoring the broader context, which is not evident in the client's statement. C: Overgeneralization - This choice involves drawing broad conclusions based on limited evidence, which is not the case as the client's statement is specific to their weight gain.