ATI RN
ATI Mental Health 1 Questions
Question 1 of 9
A resource person's function is to give specific answers to specific questions, as a counselor's function is to:
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. A counselor's main function is to provide emotional support and guidance. 2. Listening to a client review feelings related to difficulties allows the counselor to understand the client's emotional state. 3. This understanding helps the counselor provide appropriate support and guidance. 4. Answer D aligns with the core function of a counselor, which is to listen and support clients emotionally. Summary: A: Incorrect. This choice focuses on providing information, which is not the primary function of a counselor. B: Incorrect. This choice pertains to collaborative care planning, not the emotional support role of a counselor. C: Incorrect. This choice refers to a different role, not that of a counselor providing emotional support.
Question 2 of 9
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Demonstrating appreciation and genuine interest in the individual and their cultural beliefs shows respect and empathy. 2. Building a therapeutic relationship based on understanding and valuing the patient's cultural background enhances trust. 3. Cultural competence involves recognizing and respecting diversity, which is exemplified by appreciating the patient's cultural beliefs. 4. By being genuinely interested in the individual's culture, the nurse can provide more individualized and effective care. Summary: Choice D is correct because it emphasizes the importance of appreciating and showing genuine interest in the individual and their cultural beliefs, which is essential for developing cultural competence. Choices A, B, and C are incorrect because they do not focus on the individual's unique cultural background and may perpetuate stereotypes or assumptions.
Question 3 of 9
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.
Question 4 of 9
What personality disorder is characterized by magical thinking, or the idea that one can influence the outcome of specific events by doing something that has no bearing on the circumstances?
Correct Answer: C
Rationale: The correct answer is C: schizotypal personality disorder. This disorder is characterized by magical thinking, where individuals believe they can influence events through unrelated actions. This is a key feature of schizotypal personality disorder, along with other symptoms such as odd beliefs or behaviors, social anxiety, and eccentricity. A: Obsessive-compulsive personality disorder is characterized by perfectionism, rigidity, and control, not magical thinking. B: Schizoid personality disorder is characterized by social detachment and limited emotional expression, not magical thinking. D: Avoidant personality disorder is characterized by extreme shyness and fear of rejection, not magical thinking. In summary, schizotypal personality disorder is the correct answer due to its specific association with magical thinking, distinguishing it from the other options.
Question 5 of 9
Termination of a therapeutic nurse–patient relationship has been successful when the nurse
Correct Answer: C
Rationale: The correct answer is C because discussing changes and evaluating outcomes with the patient is essential for closure and reflection on the therapeutic relationship. This process allows both the nurse and patient to reflect on progress made and set realistic expectations for the future. This promotes a sense of closure and empowerment for the patient. Choice A is incorrect because avoiding upsetting the patient by shifting focus does not address the need for closure and reflection. Choice B is incorrect because giving a personal telephone number blurs professional boundaries and may hinder the patient's ability to move on independently. Choice D is incorrect because offering to meet the patient for coffee and conversation three times a week crosses professional boundaries and does not promote a healthy termination of the therapeutic relationship.
Question 6 of 9
A patient says, "All my life I've been surrounded by stupidity. Everything I buy breaks because the entire American workforce is incompetent." This patient is experiencing a
Correct Answer: B
Rationale: The correct answer is B: cognitive distortion. The patient is exhibiting cognitive distortion by making extreme and irrational generalizations based on their negative experiences. They are engaging in black-and-white thinking, where they see things in all-or-nothing terms. This type of distorted thinking can lead to feelings of hopelessness and helplessness. Self-esteem deficit (A) would involve negative feelings about oneself, which is not explicitly stated in the patient's statement. Deficit in motivation (C) refers to a lack of drive or desire to pursue goals, which is not evident in the patient's statement. Deficit in love and belonging (D) pertains to lacking social connections, which is not the focus of the patient's statement.
Question 7 of 9
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.
Question 8 of 9
Which activity does a correctional nurse not fulfill within the corrections setting?
Correct Answer: C
Rationale: Correct Answer: C - Psychotherapy Rationale: 1. Correctional nurses focus on physical health, not mental health. 2. Psychotherapy is typically provided by mental health professionals. 3. Nurses may assess, maintain safety, and document patient progress. 4. Correctional settings prioritize security and medical care over psychotherapy.
Question 9 of 9
Which behavior best demonstrates aggression?
Correct Answer: A
Rationale: The correct answer is A because grabbing a tray from the meal cart after stomping away from the nurses' station demonstrates a physically aggressive behavior. This action involves not only expressing anger but also engaging in a potentially harmful act by forcefully taking something. Choice B does not demonstrate aggression but rather shows emotional distress through crying and seeking comfort by hugging a pillow. Choice C shows assertiveness by expressing feelings of anger verbally but does not involve any physical aggression. Choice D displays refusal to take medication but does not involve physical aggression towards others.