ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 9
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
Correct Answer: C
Rationale: The correct answer is C because asking about the specific event that the patient finds most stressful helps identify the stressor. Understanding the cause of stress is crucial in managing it effectively. Choice A focuses on the impact of stress, not the cause. Choice B is related to social support, not the primary stressor. Choice D is about the timing of stress awareness, not the stressor itself. By identifying the specific stressor, the nurse can develop targeted interventions and support for the patient.
Question 2 of 9
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
Correct Answer: C
Rationale: The correct answer is C because asking about the specific event that the patient finds most stressful helps identify the stressor. Understanding the cause of stress is crucial in managing it effectively. Choice A focuses on the impact of stress, not the cause. Choice B is related to social support, not the primary stressor. Choice D is about the timing of stress awareness, not the stressor itself. By identifying the specific stressor, the nurse can develop targeted interventions and support for the patient.
Question 3 of 9
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.
Question 4 of 9
What type of development is described in Piaget's theory?
Correct Answer: C
Rationale: In Piaget's theory, the type of development described is cognitive development. Piaget focused on how individuals acquire knowledge, understand the world, and solve problems as they grow. He identified key stages like sensorimotor, preoperational, concrete operational, and formal operational. Cognitive development involves mental processes such as thinking, memory, problem-solving, and language acquisition. Moral development (A) refers to understanding right and wrong, interpersonal development (B) focuses on social relationships, and emotional development (D) pertains to managing emotions. Therefore, the correct answer is C (cognitive) as it aligns with Piaget's emphasis on intellectual growth and understanding.
Question 5 of 9
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 6 of 9
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 7 of 9
A patient was admitted to the hospital after a suicide attempt made after his daughter was killed in an automobile accident during which he had been driving and survived with only minor injuries. Even though the accident was unavoidable, he feels responsible. During the assessment interview, the patient begins to describe the last conversation he had with his daughter before he lost control of the automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He makes a visible attempt to 'straighten up' and smiles superficially at the nurse, stating, 'I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I'll be as good as new by tomorrow.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's minimization of his suicidal attempt and encourages him to acknowledge the severity of the situation. By stating that he will not be ready to go home by tomorrow, the nurse challenges the patient's attempt to downplay his emotions and the seriousness of his actions. This response shows empathy and concern for the patient's well-being, guiding him towards accepting the help and support he truly needs. Choices A, B, and C are incorrect because: A: While asking about the daughter and their relationship is important for building rapport, it does not address the immediate concern of the patient's suicidal attempt. B: Agreeing with the patient's statement and suggesting a good night's rest minimizes the seriousness of the situation and fails to address the patient's emotional distress. C: Questioning the patient's statement of being as good as new does not directly confront the seriousness of the suicide attempt and may not prompt the patient to reconsider his minimization of the situation.
Question 8 of 9
A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, 'I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?' What diagnosis would the nurse suggest as a possibility for this student?
Correct Answer: B
Rationale: The correct answer is B: a stereotypic movement disorder. Stereotypic movement disorder involves repetitive, nonfunctional motor behavior such as hand flapping. In this case, the student's inability to stop moving her arms unless she sits on her hands aligns with the characteristics of stereotypic movement disorder. A tic disorder (choice A) involves sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations. Developmental coordination disorder (choice C) is characterized by difficulties with motor coordination. Normal development for the student's age (choice D) would not explain the specific behavior described by the teacher. Therefore, the most likely diagnosis for the student in this scenario is a stereotypic movement disorder.
Question 9 of 9
Select the most appropriate label to complete this nursing diagnosis: related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Correct Answer: C
Rationale: The correct answer is C: Social isolation. In this scenario, the individual is experiencing isolation due to feelings of shyness and lack of social skills, leading them to watch TV alone every evening. This choice directly reflects the situation described and addresses the root cause of the behavior. A: Deficient knowledge does not address the social aspect of the issue. B: Ineffective coping implies the individual is trying to cope with a specific stressor, not necessarily related to social interactions. D: Powerlessness does not capture the essence of the individual's situation, which is more about social withdrawal than a sense of powerlessness.