ATI RN
Mental Health Practice B ATI Questions
Question 1 of 5
During an interview, a patient tells the nurse that he was recently let go from his job. As the interaction continues, the patient states, 'I was really overqualified for that position anyway. It was definitely below my area of expertise.' The nurse interprets this information as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intellectualization. Intellectualization is a defense mechanism where a person deals with emotional conflicts or stressors by focusing on the intellectual aspects of a situation rather than the emotional aspects. In this case, the patient is discussing their job loss in a detached, analytical manner by emphasizing their overqualification and expertise, which deflects from the emotional impact of losing the job. A: Denial involves refusing to acknowledge or accept a reality. The patient is not denying the job loss but rather rationalizing it. C: Projection involves attributing one's own thoughts, feelings, or motives to others. The patient is not projecting their own feelings onto someone else. D: Passive aggression involves expressing negative feelings indirectly. The patient's statement does not reflect indirect hostility, but rather a coping mechanism through intellectualization.
Question 2 of 5
A nurse is leading a group on an adolescent psychiatric unit. A new member in the group is from out of state; his accent and his way of dressing set him apart from the other patients; and it is obvious that the group, for the most part, dislikes this patient. During the group session, the nurse has the members draw the emotion they are feeling and then has them present their drawings and explain them to the group. Which of the following would be the most effective way to address the group's dislike for the new member?
Correct Answer: C
Rationale: The correct answer is C: Compliment the patient when he presents his drawing. By complimenting the patient when he presents his drawing, the nurse can help shift the group's negative attitude towards the new member. This approach promotes positivity and encourages the group to see the new member in a different light. It also fosters a more supportive and inclusive environment within the group. Skipping him when it is his turn to present his drawing (choice A) would only further isolate the new member and perpetuate the negative feelings towards him. Letting the patient talk last so the others will not have time to make fun of him (choice B) does not address the underlying issue of dislike and may not effectively change the group dynamics. Demanding that each member of the group tell the patient why they dislike him (choice D) can be confrontational and may escalate the situation, leading to more negativity and hostility.
Question 3 of 5
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromanti Which defense mechanism is evident?
Correct Answer: A
Rationale: The correct answer is A: Rationalization. Rationalization is a defense mechanism where individuals justify unacceptable behaviors or feelings by providing logical reasons or excuses. In this scenario, blaming the partner's attractiveness and romantic nature for one's sexual dysfunction is an example of rationalization. The individual is deflecting responsibility by attributing the issue to external factors. Summary of other choices: B: Compensation involves making up for a perceived weakness by emphasizing a strength. This is not evident in the scenario. C: Introjection involves internalizing external beliefs or values. Blaming the partner does not align with this defense mechanism. D: Regression involves reverting to an earlier stage of development in response to stress or conflict. This is not demonstrated in the scenario.
Question 4 of 5
When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. Cultural competence is essential in mental health care. 2. Hispanic Americans may avoid mental health facilities that do not accommodate their cultural needs. 3. Lack of cultural accommodation may lead to mistrust and reluctance to seek help. 4. Choosing resources that align with their cultural values is more likely. Summary: A, B, and C are incorrect because they do not address the cultural aspect of seeking mental health care among Hispanic Americans. Answer choice D is correct because it highlights the importance of cultural sensitivity in mental health services for this population.
Question 5 of 5
Martha is a school nurse who is assessing an only child who had an outburst in class. It has been noted by the child's teacher that he is having difficulty focusing in class. When he gets frustrated, he sometimes loses his temper and the teacher is afraid he might hurt himself or someone else. What might some of the child's symptoms indicate?
Correct Answer: B
Rationale: The correct answer is B: undiagnosed ADHD. The child's difficulty focusing, outbursts, and impulsive behavior are common symptoms of ADHD. ADHD can lead to emotional dysregulation, which may result in temper outbursts and difficulty controlling emotions. The child's behavior is not indicative of a learning disability (A) as it primarily involves attention and behavior rather than academic challenges. It is also not a normal developmental phase (C) as the symptoms are impacting the child's ability to function in the classroom. Lastly, the behavior is not solely due to being an only child (D) as it does not address the underlying neurological factors associated with ADHD.