ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 9
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding and acceptance of the child's condition, emphasizing that the child is not inherently bad. This statement shows empathy, understanding, and willingness to support the child. Choice B is incorrect because it focuses on a potential negative outcome rather than addressing the immediate needs of the child with ADHD. Choice C is incorrect because stopping medication abruptly can have negative consequences on symptom management and may not accurately assess the medication's effectiveness. Choice D is incorrect because consistency and firm boundaries are essential for children with ADHD, and allowing occasional violations of limits may not be conducive to the child's development and symptom management.
Question 2 of 9
A patient says to the nurse, "My father has been dead for over 10 years, but talking to you is almost as comforting as the talks he and I had when I was a chil" Which term applies to the patient's comment?
Correct Answer: B
Rationale: The correct answer is B: Transference. This term refers to the patient projecting feelings or emotions they have towards someone else, typically a significant figure from their past, onto the nurse. In this scenario, the patient is expressing comfort in talking to the nurse similar to the comfort they felt when talking to their deceased father, indicating a transference of emotions. A: Superego pertains to the internalized moral standards and values of an individual, not relevant in this context. C: Reality testing involves distinguishing between internal thoughts and external reality, which is not the focus of the patient's comment. D: Counter-transference refers to the nurse's emotional response towards the patient, not the patient's feelings towards the nurse.
Question 3 of 9
The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
Correct Answer: B
Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out. Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia. Choice C suggests social support for staying home, which is not a characteristic of agoraphobia. Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.
Question 4 of 9
Building trust is an important technique for nurses to provide. What professional QSEN competency does this demonstrate?
Correct Answer: C
Rationale: The correct answer is C: client-centered care. Building trust is an essential component of client-centered care, where the nurse respects the patient's values, preferences, and needs. Trust is crucial for effective communication and collaboration in healthcare. Nursing assessment (A) focuses on gathering patient data, client teaching (B) involves educating patients, and quality improvement (D) pertains to enhancing healthcare processes. However, building trust aligns most closely with client-centered care as it emphasizes the patient's perspective and fosters a therapeutic relationship.
Question 5 of 9
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding and acceptance of the child's condition, emphasizing that the child is not inherently bad. This statement shows empathy, understanding, and willingness to support the child. Choice B is incorrect because it focuses on a potential negative outcome rather than addressing the immediate needs of the child with ADHD. Choice C is incorrect because stopping medication abruptly can have negative consequences on symptom management and may not accurately assess the medication's effectiveness. Choice D is incorrect because consistency and firm boundaries are essential for children with ADHD, and allowing occasional violations of limits may not be conducive to the child's development and symptom management.
Question 6 of 9
A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?
Correct Answer: B
Rationale: The correct answer is B: Group therapy. In the case of a client with schizophrenia and substance abuse, the priority is addressing immediate safety concerns, such as controlling psychiatric symptoms and managing withdrawal symptoms. Group therapy may not be as crucial initially compared to individual therapy and medication management. Treatment decisions should be individualized based on the client's needs. Group therapy can be beneficial but may not be the immediate priority for this client.
Question 7 of 9
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.
Question 8 of 9
What is one reason why personality disorders can be difficult to diagnose?
Correct Answer: A
Rationale: The correct answer is A because individuals with personality disorders often lack insight into their condition and may not seek help. This can lead to underreporting of symptoms and reluctance to engage in treatment. Maladaptive behaviors (B) are a symptom of personality disorders, not a reason for difficulty in diagnosis. Lack of reliable health history (C) may hinder diagnosis but is not specific to personality disorders. Lack of emotional response (D) from the client may be a symptom of certain personality disorders but is not the main reason for difficulty in diagnosis.
Question 9 of 9
In understanding the role of victim and perpetrator, the act of evidence collection is enhanced. What knowledge base assists in caring for the injured victim?
Correct Answer: D
Rationale: The correct answer is D, Medical-surgical nursing skills. Evidence collection in caring for injured victims requires knowledge of assessing and treating physical injuries, which falls under the domain of medical-surgical nursing. Legal aspects (A) are important for documentation but not direct care. Testifying in court (B) and collaborating with law practitioners (C) are not essential for providing immediate care to the victim. Therefore, D is the most relevant choice.