ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Correct Answer: C
Rationale: The correct answer is C because feeling unusually happy when the patient's mood improves could indicate countertransference. Countertransference occurs when the nurse projects their own emotions onto the patient, potentially interfering with therapeutic boundaries. In this scenario, the nurse's emotional response may be a sign of unresolved issues or a personal connection to the patient's situation, which could impact the therapeutic relationship. A: The patient's reactions being realistic and appropriate does not necessarily indicate countertransference. B: The patient comparing the nurse to their parents may trigger personal feelings but does not directly suggest countertransference. D: Developing a trusting relationship is a positive aspect of therapeutic communication and does not inherently indicate countertransference.
Question 2 of 5
During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?
Correct Answer: B
Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.
Question 3 of 5
A patient was brought to the emergency department for an injury he received while working as a migrant worker. It soon becomes evident that the patient cannot speak English. A nurse on duty offers to find an interpreter so the patient can communicate with the medical staff. The nurse's offer is an example of which type of nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Cultural brokering. In this scenario, the nurse offering to find an interpreter for the patient demonstrates cultural brokering by facilitating communication between the patient and the medical staff despite the language barrier. Cultural brokering involves bridging the gap between different cultures to ensure effective communication and understanding in healthcare settings. Milieu therapy (A) focuses on creating a therapeutic environment, conflict resolution (B) involves resolving conflicts between individuals or groups, and structured interaction (D) refers to planned interactions with a specific purpose. In this case, the nurse's intervention goes beyond these options by directly addressing the cultural and communication needs of the patient.
Question 4 of 5
The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?
Correct Answer: D
Rationale: Step 1: Interpersonal differentiation is important in family systems as it refers to individual family members' ability to maintain their own identity while remaining connected to the family unit. Step 2: Assessing interpersonal differentiation helps the nurse understand how well family members can balance autonomy and connection within the family. Step 3: This assessment is crucial for identifying healthy functioning within the family system and potential issues related to boundaries, enmeshment, and rule acceptance. Step 4: In contrast, choices A, B, and C focus more on specific aspects of family dynamics, but they do not directly address individual family members' ability to maintain their identity within the system.
Question 5 of 5
A nurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality?
Correct Answer: D
Rationale: Step 1: Identify Type D personality - Type D personality is characterized by negative emotions, social inhibition, and a tendency to suppress emotions. Step 2: Analyze the choices - Option D fits the criteria as the man reacts negatively to almost everything and does not discuss his feelings with anyone, demonstrating social inhibition and negative emotions. Step 3: Eliminate incorrect choices - Option A displays aggression, not social inhibition. Option B shows introverted behavior, not necessarily negative emotions. Option C involves peer pressure and poor decision-making, not social inhibition or negative emotions. Summary: Choice D is correct as it aligns with the characteristics of a Type D personality - negative emotions and social inhibition. Choices A, B, and C do not exhibit these specific traits.