ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 9
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 2 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 3 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 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
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 6 of 9
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 7 of 9
The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following?
Correct Answer: D
Rationale: The correct answer is D because clients with complex somatic symptom disorder often exhibit rapidly changing moods during the interview due to the distress associated with their physical symptoms. This is a common manifestation of the emotional turmoil they experience. A: No facial expression is less likely as emotional expression is common. B: Intermittent nodding and glancing at the clock may suggest anxiety or distraction, but not specific to this disorder. C: Altered mental status is not a typical feature of complex somatic symptom disorder.
Question 8 of 9
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 9 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.