ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child's motor activity? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hyperalertness. Motor activity refers to physical movements and energy levels. Hyperalertness indicates increased arousal and responsiveness, which can manifest as fidgeting, restlessness, or excessive movement. This is a direct indicator of the child's motor activity. A: Favorite story, Huckleberry Finn - This choice is related to cognitive function and interests, not motor activity. B: Short attention span - This choice is related to cognitive function and focus, not motor activity. D: Went to the park last weekend - This choice is related to past events and activities, not current motor activity.
Question 2 of 5
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
Correct Answer: D
Rationale: The correct answer is D: Fulfilling relationships. This patient's pattern of idealizing and devaluing significant others suggests symptoms of borderline personality disorder, which is characterized by unstable relationships and emotional dysregulation. Interventions aimed at developing fulfilling relationships can help the patient establish more stable and healthy connections, leading to improved emotional well-being. Options A, B, and C do not directly address the core issue of unstable relationships and emotional emptiness experienced by the patient. Thus, D is the most appropriate choice to address the patient's specific needs.
Question 3 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step-by-step rationale for choice C being correct: 1. Imaginary friends are common in children, especially those who have experienced trauma. 2. They serve as a coping mechanism for children to process their emotions and experiences. 3. The nurse's teaching aims to help the foster family understand this coping mechanism. 4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma. Summary of why other choices are incorrect: A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development. B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism. D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.
Question 4 of 5
The highest-priority goal of crisis intervention is:
Correct Answer: D
Rationale: The correct answer is D: Patient safety. In crisis intervention, ensuring the safety of the individual in crisis is the highest priority. This includes preventing harm to themselves or others. Addressing anxiety (A) is important, but not the primary goal. Identifying supports (B) and teaching coping skills (C) are also crucial, but ensuring immediate safety takes precedence. Patient safety is the foundation upon which effective crisis intervention is built, providing a sense of security and stability to address other needs.
Question 5 of 5
In managing the milieu for clients experiencing disorientation and fear, what would the nurse consider a priority?
Correct Answer: D
Rationale: The correct answer is D: client safety. In managing disoriented and fearful clients, ensuring client safety is a priority. This includes preventing harm, falls, and injury. Safety measures help to create a secure environment for the client. Educating the client and family (A) is important but ensuring immediate safety takes precedence. Recreational activities (B) and social skills (C) are secondary to addressing the immediate safety needs of the client.