ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she's helping me, and sometimes I am helping her.' The nurse interprets the patient's statements about her social network as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Reciprocity. The patient's statements indicate a mutual exchange of support and assistance between her and her friend. Reciprocity in social networks refers to the give-and-take dynamic where both parties provide help and support to each other. This is evident in the patient's description of their friendship. Incorrect choices: A: Denseness refers to the degree to which individuals within a social network are connected to each other. The patient's statements do not specifically indicate a high level of interconnectedness. C: Social support involves the provision of assistance or emotional support within a social network, but the key aspect of reciprocity is missing in this choice. D: Constraints refer to the limitations or restrictions within a social network that may hinder relationships or interactions. There is no indication of constraints in the patient's statements.
Question 2 of 5
When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be male. This change in identity is considered:
Correct Answer: C
Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.
Question 3 of 5
To determine a patient's legal sanity or competency, the psychiatric forensic nurse must assess all of the following, except:
Correct Answer: D
Rationale: The correct answer is D because when assessing a patient's legal sanity or competency, the focus should be on the individual's mental state and capacity to understand their actions, not their social network. A: The ability to distinguish right from wrong is essential as it relates to legal standards for sanity. B: Understanding the nature of the act is crucial in determining competency. C: Evaluating the defendant's mental state at the time of the act helps in understanding their mental capacity during the incident. Incorrect choices A, B, and C are directly related to assessing legal sanity and competency, while choice D is not relevant to this assessment.
Question 4 of 5
Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?
Correct Answer: C
Rationale: The correct answer is C because it highlights the cyclical nature of poverty within the culture of poverty. Joblessness and lack of financial independence are characteristics of poverty that can lead to feelings of powerlessness and low self-esteem, which, in turn, perpetuate the cycle of poverty. This explanation aligns with the concept of the culture of poverty, which suggests that individuals in poverty are trapped in a cycle due to a combination of economic and social factors. Option A is incorrect because it oversimplifies the issue by focusing solely on individual willpower and motivation, ignoring systemic barriers that contribute to poverty. Option B is incorrect as it emphasizes a single aspect (lack of address for job applications) without addressing the broader cycle of poverty. Option D is incorrect as it suggests that poverty is solely inherited and ignores the role of societal structures in perpetuating poverty.
Question 5 of 5
What is one of the characteristics shared by most personality disorders?
Correct Answer: D
Rationale: The correct answer is D: dysfunctional relationships. Most personality disorders involve difficulties in forming and maintaining healthy relationships, which is a common characteristic across various types of personality disorders. This is due to underlying issues with emotional regulation, impulsivity, and distorted perceptions of self and others. In contrast, fear of attention (A) is not a defining feature of personality disorders, short onset of duration (B) is not typically seen as these disorders are long-standing, and a history of violence (C) is not universal to all personality disorders.