ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 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 2 of 5
A nurse identifies a nursing diagnosis of chronic low self-esteem. Which statement by a patient would support this nursing diagnosis?
Correct Answer: D
Rationale: The correct answer is D: "I never do anything right." This statement reflects a consistent negative self-perception and a lack of self-worth, which aligns with chronic low self-esteem. The patient attributes all their actions as failures, indicating a deep-rooted belief in their inadequacy. Choices A, B, and C focus on specific physical attributes or external factors, which do not directly relate to self-esteem issues. In contrast, choice D directly addresses the patient's perception of themselves and their abilities, supporting the nursing diagnosis of chronic low self-esteem.
Question 3 of 5
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
Correct Answer: C
Rationale: The correct answer is C because in the family systems therapy model, triangulation occurs when one family member involves a third person to reduce tension between two. In this scenario, the son becomes the "third person" and may develop problematic symptoms (such as stress, acting out) due to the increased attention from the mother. This can lead to emotional and behavioral issues in the child. Choice A is incorrect because enjoying attention does not align with the typical response in triangulation. Choice B is incorrect as it focuses on blaming the father, which is not a direct consequence of triangulation. Choice D is incorrect as it implies resentment towards both parents, which is not always the case in triangulation.
Question 4 of 5
During an interview, a patient states, 'I feel so guilty, and I'm so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Negative emotion. The patient expressing guilt and shame indicates a negative emotion, as these feelings are typically associated with self-blame and remorse. This suggests the patient may be experiencing distress or psychological burden. Choices B, C, and D are incorrect as they do not accurately reflect the patient's emotional state. Positive emotion (B) would be indicated by expressions of joy or happiness. Borderline emotion (C) typically refers to a specific personality disorder, not a general emotional state. Nonemotion (D) implies a lack of emotional response, which is not the case here.
Question 5 of 5
While assessing a client with schizophrenia, the client states, 'Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies.' The nurse interprets this statement as indicating which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Persecutory. This is because the client believes that the government is watching them and plotting against them, indicating a delusion of persecution. Grandiose delusions involve exaggerated beliefs of one's importance or abilities. Nihilistic delusions involve beliefs of non-existence or the end of the world. Somatic delusions involve beliefs about one's body being affected in some way. In this case, the client's belief aligns most closely with persecutory delusions, as they feel targeted and threatened by external forces.