ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
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 5
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 3 of 5
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 4 of 5
A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates rationalization by shifting blame onto the provoked person instead of taking responsibility for the abusive behavior. The person justifies their actions by claiming the other person provoked them, which is a common tactic used by abusers to avoid accountability. Choice A lacks justification or reasoning for the behavior. Choice B refers to a lack of impulse control, not rationalization. Choice D shows introspection and self-awareness, which is not characteristic of rationalization. Thus, C is the best example of rationalization in this context.
Question 5 of 5
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.