ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A nursing instructor is describing the nurse-patient relationship to a group of nursing students. Which of the following would the instructor emphasize as crucial for establishing and maintaining the relationship?
Correct Answer: C
Rationale: The correct answer is C: Self-awareness. Self-awareness is crucial in the nurse-patient relationship as it involves understanding one's own thoughts, emotions, values, and biases. This awareness helps nurses maintain objectivity, empathy, and effective communication with patients. By being self-aware, nurses can identify and manage their own feelings and reactions, leading to better understanding and connection with patients. Rationale for other choices: A: Rapport is important in building relationships, but self-awareness is essential for understanding and managing one's own behaviors and reactions within the relationship. B: Empathy is crucial for understanding and sharing patients' emotions, but self-awareness is fundamental for ensuring empathy is genuine and not influenced by personal biases. D: Values are important in guiding ethical decision-making, but self-awareness is necessary for recognizing how personal values may affect the nurse-patient relationship.
Question 2 of 5
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.
Question 3 of 5
The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
Correct Answer: C
Rationale: The correct answer is C because instituting strict restrictions on the patient's activity is not appropriate when a patient is at imminent risk for suicide. This can increase feelings of hopelessness and powerlessness, potentially exacerbating the risk. Listening intently and nonjudgmentally (A), validating feelings (B), and using cognitive interventions to foster hope (D) are all appropriate strategies that can help support the patient and address the underlying issues contributing to their suicidal ideation. It is important to focus on therapeutic interventions that promote safety and provide support rather than imposing strict restrictions.
Question 4 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 5 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step-by-step rationale for choice C being correct: 1. Imaginary friends are common in children, especially those who have experienced trauma. 2. They serve as a coping mechanism for children to process their emotions and experiences. 3. The nurse's teaching aims to help the foster family understand this coping mechanism. 4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma. Summary of why other choices are incorrect: A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development. B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism. D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.