ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
During an interview, a patient states, 'I feel so guilty, and I'm so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Negative emotion. The patient expressing guilt and shame indicates a negative emotion, as these feelings are typically associated with self-blame and remorse. This suggests the patient may be experiencing distress or psychological burden. Choices B, C, and D are incorrect as they do not accurately reflect the patient's emotional state. Positive emotion (B) would be indicated by expressions of joy or happiness. Borderline emotion (C) typically refers to a specific personality disorder, not a general emotional state. Nonemotion (D) implies a lack of emotional response, which is not the case here.
Question 2 of 5
Epidemiological studies contribute to improvements in care for individuals with mental disorders by:
Correct Answer: B
Rationale: The correct answer is B: Identifying risk factors that contribute to the development of a disorder. Epidemiological studies help identify factors such as genetics, environment, and lifestyle that increase the likelihood of developing mental disorders. Understanding these risk factors allows for early intervention and prevention strategies. A: Providing information about effective nursing techniques is not the primary focus of epidemiological studies, which are more concerned with identifying patterns and causes of diseases. C: Identifying individuals in the general population who will develop a specific disorder is not the main purpose of epidemiological studies, as they focus on identifying risk factors rather than predicting individual outcomes. D: Identifying which individuals will respond favorably to a specific treatment is important but not the primary goal of epidemiological studies, which are more focused on population-level data and trends.
Question 3 of 5
While assessing a client with schizophrenia, the client states, 'Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies.' The nurse interprets this statement as indicating which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Persecutory. This is because the client believes that the government is watching them and plotting against them, indicating a delusion of persecution. Grandiose delusions involve exaggerated beliefs of one's importance or abilities. Nihilistic delusions involve beliefs of non-existence or the end of the world. Somatic delusions involve beliefs about one's body being affected in some way. In this case, the client's belief aligns most closely with persecutory delusions, as they feel targeted and threatened by external forces.
Question 4 of 5
What common symptom of borderline personality disorder is described as alternating between extremes of idealization and devaluation of one's partner?
Correct Answer: D
Rationale: The correct answer is D: splitting. Splitting is a common symptom of borderline personality disorder where individuals alternate between extremes of idealization and devaluation of others, such as partners. This behavior stems from the inability to integrate both positive and negative feelings towards the same person or object. It leads to black-and-white thinking and unstable relationships. A: Body illusion - This term does not relate to the alternating idealization and devaluation of partners seen in borderline personality disorder. B: Dissociation - Dissociation involves a disconnection from thoughts, feelings, or memories, and does not specifically address the idealization and devaluation pattern in relationships. C: Grandiosity - Grandiosity refers to an inflated sense of self-importance and superiority, which is not directly related to the pattern of idealization and devaluation in relationships seen in splitting.
Question 5 of 5
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
Correct Answer: C
Rationale: The correct answer is C because in the family systems therapy model, triangulation occurs when one family member involves a third person to reduce tension between two. In this scenario, the son becomes the "third person" and may develop problematic symptoms (such as stress, acting out) due to the increased attention from the mother. This can lead to emotional and behavioral issues in the child. Choice A is incorrect because enjoying attention does not align with the typical response in triangulation. Choice B is incorrect as it focuses on blaming the father, which is not a direct consequence of triangulation. Choice D is incorrect as it implies resentment towards both parents, which is not always the case in triangulation.