ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A psychiatric-mental health nurse is providing care for a patient with a mental disorder. The patient is participating in the decision-making process. The nurse interprets this as which component of recovery?
Correct Answer: B
Rationale: The correct answer is B: Empowerment. Empowerment is the process of enabling individuals to take control of their own lives and make informed decisions. In the context of mental health recovery, when a patient actively participates in the decision-making process, it signifies empowerment. This component is crucial in fostering autonomy and self-determination in individuals with mental disorders. Why the other choices are incorrect: A: Self-direction typically refers to the ability of individuals to make choices and set goals for themselves, but it may not necessarily involve active participation in decision-making processes with healthcare providers. C: Person-centered care focuses on tailoring treatment to individual preferences and needs, but it does not solely address the active involvement of the patient in decision-making. D: Holistic care considers the whole person - mind, body, and spirit - but it does not specifically address the patient's active participation in decision-making.
Question 2 of 5
According to Maslow's hierarchy of needs, which of the following client actions would be considered most basic? Select all that apply.
Correct Answer: A
Rationale: According to Maslow's hierarchy of needs, the most basic needs are physiological needs, safety needs, and then social needs. Choice A addresses the need for safety by discussing the need for order and freedom from fear, making it the most basic. Choices B, C, and D relate to higher-level needs such as belongingness, esteem, and self-actualization, respectively. Choice B addresses the need for social connection, Choice C relates to self-actualization, and Choice D involves practicing assertiveness skills, which is related to esteem needs. Thus, Choice A is the most basic according to Maslow's hierarchy.
Question 3 of 5
A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.
Question 4 of 5
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
Correct Answer: B
Rationale: Rationale: 1. Lorazepam is a fast-acting benzodiazepine used for acute anxiety relief. 2. It acts quickly to reduce anxiety symptoms. 3. Buspirone is not suitable for acute relief as it takes weeks to show effectiveness. 4. Amitriptyline and desipramine are tricyclic antidepressants, not fast-acting anxiolytics.
Question 5 of 5
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.