ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
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 2 of 5
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment. Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service. Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization. Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.
Question 3 of 5
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 4 of 5
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
Correct Answer: C
Rationale: The correct answer is C. Speaking to the patient in his native language may not necessarily be the most effective approach as not all individuals from the same culture speak the same language. It is important to recognize that language and culture are not always directly correlated. Demonstrating genuine interest (A), avoiding assumptions (B), and acquiring information about the patient's country (D) are all crucial aspects of providing culturally competent care as they help in understanding the patient's background, beliefs, and values. However, assuming that speaking the patient's native language automatically promotes cultural competence overlooks the diversity within cultures.
Question 5 of 5
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.