ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
After delivery, a devoutly religious client is diagnosed with postpartum depression. The client states,"No one can help me. I was an evil teenager and I must pay." Knowing the effects of cultural influences, how would the nurse interpret this statement?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. The client's statement reflects a belief that their past actions are causing their current suffering. 2. This belief is consistent with the cultural influence of certain religions where illness is seen as punishment for sins. 3. The client's reference to being an "evil teenager" aligns with the idea of personal responsibility for suffering. 4. This interpretation is supported by understanding how religious beliefs can impact perceptions of illness and help-seeking behaviors. Summary: - Choice A is incorrect because the client is not exhibiting delusions of persecution, but rather expressing a belief in personal responsibility. - Choice B is incorrect as the client's statement indicates a deeper issue related to religious beliefs, not simply wanting to be left alone. - Choice C is incorrect as it generalizes all devoutly religious individuals, which is not necessarily true for all individuals within a religious group.
Question 2 of 5
On an inpatient psychiatric unit, which of the following actions exemplify the nurse's role of teacher?
Correct Answer: C
Rationale: Rationale: - Choice C is correct because teaching involves presenting information to enhance understanding. - Teaching aids in promoting client and family knowledge about mental illness. - This empowers them to make informed decisions and participate in treatment. - Choices A and B involve assessment and orientation tasks, not directly related to teaching. - Choice D focuses on maintaining a therapeutic environment, not teaching content.
Question 3 of 5
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?
Correct Answer: A
Rationale: The correct answer is A: A risk for moderate to severe violence with people both within and outside his family. This is because individuals with antisocial personality disorder often exhibit behaviors such as aggression, impulsivity, disregard for the rights of others, and lack of empathy. With an extensive criminal record and being identified as having characteristics of antisocial personality disorder, the woman's husband is at an increased risk for violent behavior towards both family members and others. Choice B is incorrect because individuals with antisocial personality disorder typically lack remorse for their actions. Choice C is incorrect as depression and feelings of inadequacy are not characteristic of antisocial personality disorder. Choice D is incorrect as individuals with antisocial personality disorder may maintain superficial relationships but are not likely to isolate themselves from others purposefully.
Question 4 of 5
Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?
Correct Answer: C
Rationale: The correct answer is C because it highlights the cyclical nature of poverty within the culture of poverty. Joblessness and lack of financial independence are characteristics of poverty that can lead to feelings of powerlessness and low self-esteem, which, in turn, perpetuate the cycle of poverty. This explanation aligns with the concept of the culture of poverty, which suggests that individuals in poverty are trapped in a cycle due to a combination of economic and social factors. Option A is incorrect because it oversimplifies the issue by focusing solely on individual willpower and motivation, ignoring systemic barriers that contribute to poverty. Option B is incorrect as it emphasizes a single aspect (lack of address for job applications) without addressing the broader cycle of poverty. Option D is incorrect as it suggests that poverty is solely inherited and ignores the role of societal structures in perpetuating poverty.
Question 5 of 5
When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be male. This change in identity is considered:
Correct Answer: C
Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.