ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 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 2 of 5
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: D
Rationale: The correct answer is D: Inpatient anger management group. An open group allows members to join or leave at any time, and new members can be added throughout the group's duration. In an inpatient setting, such as an anger management group, individuals may come and go due to varying lengths of stay. This flexibility in membership aligns with the characteristics of an open group. Choice A (Outpatient smoking cessation group) is incorrect because outpatient groups typically have a set start and end date, making them more closed in nature. Choice B (Community clinic psychoeducation group) is incorrect as these groups usually have a defined curriculum and limited spots, making them closed groups. Choice C (Ambulatory psychotherapy group) is also incorrect as these groups often have a set number of sessions with the same members attending each session, making them more closed than open.
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
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is listening to the radio. The client tells the nurse that the radio commentator is speaking directly to him. The nurse interprets this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Referential thinking. This is because when the client believes that the radio commentator is speaking directly to them, it indicates referential thinking, where the individual perceives unrelated events or objects as having personal significance. This is a common symptom of schizophrenia. A: Autistic thinking refers to self-absorption and detachment from reality, not related to perceiving external stimuli as personal messages. B: Concrete thinking is a literal interpretation of external stimuli, not attributing personal significance to them. D: Illusional thinking involves experiencing false perceptions or beliefs, not necessarily attributing external stimuli as directly related to oneself.
Question 5 of 5
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: The correct answer is B: Withdrawal symptoms. Benzodiazepines are known for causing physical dependence, leading to withdrawal symptoms if stopped abruptly. The nurse must emphasize this risk to the client with panic disorder to prevent potential harm. Dietary restrictions (A) are not typically associated with benzodiazepine use. Agitation (C) can be a side effect but is not a primary risk. Fecal impaction (D) is not directly related to benzodiazepine use. It is crucial for the nurse to educate the client on the importance of gradually tapering off the medication to avoid withdrawal symptoms.