ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
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 2 of 5
A client on an inpatient psychiatric unit has a nursing diagnosis of nonadherence R/T antipsychotic medications. In which role is the nurse functioning when checking for"cheeking"?
Correct Answer: C
Rationale: The correct answer is C: Medication manager. Checking for "cheeking" refers to the nurse's role in ensuring that the client is not hiding or storing their medications in their mouth instead of swallowing them, which could lead to nonadherence. As a medication manager, the nurse is responsible for monitoring and overseeing the client's medication administration to promote adherence and safety. The other choices are incorrect because: A: Advocate - Advocacy involves supporting the client's rights and preferences, which is important but not directly related to checking for "cheeking". B: Educator - While educating the client about the importance of taking medications as prescribed is crucial, it does not specifically address the task of checking for "cheeking". D: Counselor - Counseling focuses on addressing emotional and psychological issues, which is not the primary concern when checking for "cheeking".
Question 3 of 5
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 4 of 5
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 5 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.