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
A nurse is preparing an in-service presentation about panic disorders and associated theories related to the cause. When describing the cognitive​behavioral concepts associated with panic disorders, which of the following would the nurse expect to address?
Correct Answer: B
Rationale: Step 1: Panic disorders involve intense periods of fear and physical symptoms. Step 2: Conditioned response is a key cognitive-behavioral concept where a neutral stimulus becomes associated with fear or panic. Step 3: Through repeated pairings, triggers can elicit panic attacks. Step 4: Personal losses, early separation, and dysfunctional family communication are not specific cognitive-behavioral concepts related to panic disorders.
Question 3 of 5
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
Correct Answer: C
Rationale: The correct answer is C because it suggests that the client may be seeking attention and validation through illness, which is characteristic of factitious disorder. The client's statement implies a pattern of feeling loved only when they were sick, indicating a potential motivation for feigning illness. Explanation: - A: This choice indicates a lack of nurturing throughout childhood, but it does not specifically point to seeking attention through illness. - B: Feeling loved only when achieving academic success does not directly relate to seeking attention through illness. - D: Feeling loved after a negative event (spanking) does not align with seeking attention through illness.
Question 4 of 5
A nurse is assessing an 8-year-old girl with a mood disorder. Which of the following would the nurse most likely expect to assess?
Correct Answer: B
Rationale: The correct answer is B: Behavioral problems. In children with mood disorders, behavioral problems are commonly observed, such as irritability, aggression, defiance, or hyperactivity. This is because children may have difficulty expressing their emotions verbally, leading to behavioral manifestations. Choices A, C, and D are less likely in a primary mood disorder assessment in a child, as they are more indicative of other conditions like anxiety disorders (C) or obsessive-compulsive disorder (D). While children with mood disorders may feel sad, it is more common for them to exhibit behavioral issues as a primary symptom.
Question 5 of 5
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?
Correct Answer: C
Rationale: The correct answer is C: The nurse must allow the elderly mother to decide if she wants to leave the situation or not. This is important because it respects the elderly mother's autonomy and empowers her to make decisions about her own well-being. By allowing her to decide, the nurse promotes her sense of control and dignity in a situation where she may feel powerless. It also aligns with the principles of patient-centered care and informed consent. Choice A is incorrect because legally removing the son should not be the immediate priority without considering the elderly mother's wishes. Choice B is incorrect as solely focusing on improving self-esteem may not address the safety and protection concerns of the elderly mother. Choice D is incorrect as placement in a nursing home should be a decision made collaboratively with the elderly mother, not imposed without her consent.