ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
A patient says, "I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?
Correct Answer: B
Rationale: The correct answer is B: Overgeneralization. This cognitive distortion involves making broad conclusions based on limited evidence or a single incident. In this scenario, the patient is overgeneralizing their positive feelings to wearing a size 2 petite, assuming that it always makes them feel good. This conclusion is not logically supported by the limited information provided. A: Disqualifying the positive involves ignoring positive experiences or qualities. This is not the case here as the patient is emphasizing a positive feeling. C: Catastrophizing involves magnifying or exaggerating negative events. This is not evident in the patient's statement. D: Personalization involves attributing external events to oneself. This is not relevant to the patient's statement about clothing size.
Question 2 of 5
During which phase of the nurse–patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
Correct Answer: C
Rationale: During the working phase of the nurse-patient relationship, identified patient issues are explored and resolved. This phase involves active problem-solving and collaboration between the nurse and patient to address the patient's needs. In contrast, the preorientation phase is for preparation, the orientation phase is for establishing trust, and the termination phase is for closure. Therefore, the correct answer is C (Working).
Question 3 of 5
A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for other-directed violence. This is the priority nursing diagnosis because the patient's history of breaking windows, childhood abuse, and torturing pets suggests a potential for violent behavior towards others. The patient's actions indicate a risk of harm to others, making it essential to address this safety concern first. A: Risk for injury is not the priority as the focus should be on the potential harm the patient may cause to others rather than self-injury. B: Ineffective coping may be a contributing factor, but the immediate concern is the risk of violence towards others. C: Impaired social interaction does not address the urgent safety issue of potential violence towards others. In summary, the priority nursing diagnosis is D as it addresses the immediate risk of harm to others based on the patient's history and behavior.
Question 4 of 5
A client on a psychiatric unit who practices Orthodox Judaism declines to eat any of his ham, rice, and vegetable entrée. Which information about Jewish culture would the nurse attribute to this behavior?
Correct Answer: C
Rationale: The correct answer is C: The client is following kosher dietary laws. In Orthodox Judaism, adherents follow strict dietary laws known as kosher laws. These laws prohibit the consumption of certain foods, including pork (ham) and the mixing of meat and dairy products. Rice is allowed under kosher laws, so the client declining the entrée is likely due to the presence of ham, which is not kosher. Explanation of other choices: A: The client being allergic to rice would not explain why he is declining the entire entrée, which includes ham and vegetables. B: Being a vegetarian would not explain why the client is declining the entrée specifically because of the presence of ham, which is not a vegetarian concern. D: The dietary laws of Islam (halal) are different from kosher laws, so this would not apply to the client's behavior in this context.
Question 5 of 5
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: a client with indications of hypovolemic shock. This is the priority because hypovolemic shock is a life-threatening condition resulting from severe blood loss. In a mass casualty situation, identifying and treating clients with hypovolemic shock promptly is crucial to prevent further deterioration. Clients with massive head trauma (A) and full thickness burns (B) also require urgent care, but hypovolemic shock leads to rapid decline and requires immediate intervention. A client with an open fracture (D) can be stabilized and managed after addressing the more critical condition of hypovolemic shock.