ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 9
A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
Correct Answer: D
Rationale: Step 1: Identify Type D personality - Type D personality is characterized by negative emotions, social inhibition, and a tendency to suppress emotions. Step 2: Analyze the choices - Option D fits the criteria as the man reacts negatively to almost everything and does not discuss his feelings with anyone, demonstrating social inhibition and negative emotions. Step 3: Eliminate incorrect choices - Option A displays aggression, not social inhibition. Option B shows introverted behavior, not necessarily negative emotions. Option C involves peer pressure and poor decision-making, not social inhibition or negative emotions. Summary: Choice D is correct as it aligns with the characteristics of a Type D personality - negative emotions and social inhibition. Choices A, B, and C do not exhibit these specific traits.
Question 2 of 9
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Correct Answer: C
Rationale: The correct answer is C because feeling unusually happy when the patient's mood improves could indicate countertransference. Countertransference occurs when the nurse projects their own emotions onto the patient, potentially interfering with therapeutic boundaries. In this scenario, the nurse's emotional response may be a sign of unresolved issues or a personal connection to the patient's situation, which could impact the therapeutic relationship. A: The patient's reactions being realistic and appropriate does not necessarily indicate countertransference. B: The patient comparing the nurse to their parents may trigger personal feelings but does not directly suggest countertransference. D: Developing a trusting relationship is a positive aspect of therapeutic communication and does not inherently indicate countertransference.
Question 3 of 9
During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?
Correct Answer: B
Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.
Question 4 of 9
A patient says to the nurse, "My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a chil" Which term applies to the patient's comment?
Correct Answer: B
Rationale: The correct answer is B: Transference. This term refers to the patient projecting feelings or emotions they have towards someone else, typically a significant figure from their past, onto the nurse. In this scenario, the patient is expressing comfort in talking to the nurse similar to the comfort they felt when talking to their deceased father, indicating a transference of emotions. A: Superego pertains to the internalized moral standards and values of an individual, not relevant in this context. C: Reality testing involves distinguishing between internal thoughts and external reality, which is not the focus of the patient's comment. D: Counter-transference refers to the nurse's emotional response towards the patient, not the patient's feelings towards the nurse.
Question 5 of 9
Building trust is an important technique for nurses to provide. What professional QSEN competency does this demonstrate?
Correct Answer: C
Rationale: The correct answer is C: client-centered care. Building trust is an essential component of client-centered care, where the nurse respects the patient's values, preferences, and needs. Trust is crucial for effective communication and collaboration in healthcare. Nursing assessment (A) focuses on gathering patient data, client teaching (B) involves educating patients, and quality improvement (D) pertains to enhancing healthcare processes. However, building trust aligns most closely with client-centered care as it emphasizes the patient's perspective and fosters a therapeutic relationship.
Question 6 of 9
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 7 of 9
In understanding the role of victim and perpetrator, the act of evidence collection is enhanced. What knowledge base assists in caring for the injured victim?
Correct Answer: D
Rationale: The correct answer is D, Medical-surgical nursing skills. Evidence collection in caring for injured victims requires knowledge of assessing and treating physical injuries, which falls under the domain of medical-surgical nursing. Legal aspects (A) are important for documentation but not direct care. Testifying in court (B) and collaborating with law practitioners (C) are not essential for providing immediate care to the victim. Therefore, D is the most relevant choice.
Question 8 of 9
The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?
Correct Answer: D
Rationale: The correct answer is D because clients with complex somatic symptom disorder often exhibit rapidly changing moods during the interview due to the distress associated with their physical symptoms. This is a common manifestation of the emotional turmoil they experience. A: No facial expression is less likely as emotional expression is common. B: Intermittent nodding and glancing at the clock may suggest anxiety or distraction, but not specific to this disorder. C: Altered mental status is not a typical feature of complex somatic symptom disorder.
Question 9 of 9
Which patient has the greatest risk for suicide?
Correct Answer: A
Rationale: The correct answer is A because the patient's behavior of searching for child pornography indicates a high risk for acting on harmful impulses. This behavior is illegal and harmful to children, suggesting severe mental health issues. Choice B may indicate relationship problems but not immediate risk of harm. Choice C involves inappropriate behavior but not necessarily self-harm. Choice D indicates concerning thoughts but not immediate risk of harm to oneself. Suicidal risk is highest when an individual shows dangerous behaviors or intentions, such as in choice A.