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
A patient says, "Please don't share information about me with the other people." How should the nurse respond?
Correct Answer: A
Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team. Incorrect choices: B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting. C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse. D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.
Question 3 of 5
A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B because explaining the relationship between physical symptoms and psychological state helps the patient understand the connection, reducing anxiety and fear. Triggering flashbacks intentionally (A) can worsen symptoms. Encouraging repression of memories (C) can lead to increased distress. Supporting 'numbing' (D) may hinder emotional processing and can be maladaptive in the long term.
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
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit