ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A patient with depression asks the nurse about possible herbal supplements. Which of the following would the nurse identify as being commonly used?
Correct Answer: B
Rationale: The correct answer is B: St. John's wort. St. John's wort is commonly used for treating depression due to its potential antidepressant effects. It works by increasing the levels of serotonin in the brain. Valerian (A) is primarily used for insomnia and anxiety. Kava (C) is used for anxiety and stress, not depression. Melatonin (D) is used for sleep disorders, not depression. Therefore, St. John's wort is the most appropriate choice for a patient with depression.
Question 2 of 5
A Red Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman's pet poodle died as a result of the tornado. Which of the following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: The correct answer is A. The nurse would most likely expect to hear the woman express shock and numbness due to the traumatic event. This response aligns with the concept of psychological numbing, which is a common immediate reaction to severe trauma. The woman's statement of not being able to feel anything and nothing seeming real indicates a dissociative response, which is a typical initial coping mechanism in such situations. Choices B, C, and D are incorrect because they primarily focus on emotional devastation, practical concerns (insurance claim), and grief over the loss of the pet poodle, respectively. While these responses are valid emotional reactions, they do not reflect the typical immediate psychological response to a traumatic event like the one described. In contrast, choice A captures the expected initial shock and numbness often experienced in such circumstances.
Question 3 of 5
While interviewing a client diagnosed with a delusional disorder, the client states, 'I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I've seen so many doctors, and they can't tell me what's wrong.' The nurse interprets the client's statement as reflecting which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Somatic. This is because the client's belief about having a strange odor coming out of their mouth, despite medical professionals not finding any physical cause, aligns with a somatic delusion. Somatic delusions involve false beliefs about one's body, health, or appearance. In this case, the client's preoccupation with the perceived odor falls under the somatic delusion category. Explanation for other choices: A: Erotomanic delusions involve the belief that someone, usually of higher status, is in love with the individual. This does not align with the client's statement about the strange odor. B: Grandiose delusions involve exaggerated beliefs about one's importance, power, or abilities. The client's statement about the strange odor does not reflect grandiosity. D: Jealous delusions involve unfounded beliefs about a partner's infidelity. This also does not relate to the client's statement about the odor.
Question 4 of 5
A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?
Correct Answer: C
Rationale: The correct answer is C because participating in a problem-solving group helps reinforce self-responsibility in clients with antisocial personality disorder. By actively engaging in the group and contributing to solving problems, the client learns to take ownership of their actions and decisions. This can lead to increased accountability and self-awareness. Explanation for why other choices are incorrect: A: Developing attachments is not the primary goal of a problem-solving group for clients with antisocial personality disorder. B: While setting boundaries is important, it is not the main focus of a problem-solving group. D: Avoiding confrontation about dysfunctional patterns does not promote growth and self-responsibility, which is the main goal of the intervention.
Question 5 of 5
A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
Correct Answer: D
Rationale: The correct answer, D, is the most accurate definition of biosexual identity. Biosexual identity refers to the anatomic and physiologic state of being male or female, which is determined by biological factors such as chromosomes, hormones, and reproductive anatomy. This definition focuses on the physical aspects of gender and is not influenced by personal convictions, outward expressions, or sexual attraction. Choices A, B, and C are incorrect because they do not specifically address the biological aspects of gender identity, which are central to understanding biosexual identity. Choice A focuses on personal conviction, choice B on outward expression, and choice C on sexual attraction, all of which are separate from the biological determinants of gender.