ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
In managing the milieu for clients experiencing disorientation and fear, what would the nurse consider a priority?
Correct Answer: D
Rationale: The correct answer is D: client safety. In managing disoriented and fearful clients, ensuring client safety is a priority. This includes preventing harm, falls, and injury. Safety measures help to create a secure environment for the client. Educating the client and family (A) is important but ensuring immediate safety takes precedence. Recreational activities (B) and social skills (C) are secondary to addressing the immediate safety needs of the client.
Question 2 of 5
According to Maslow's hierarchy of needs, which of the following client actions would be considered most basic? Select all that apply.
Correct Answer: A
Rationale: According to Maslow's hierarchy of needs, the most basic needs are physiological needs, safety needs, and then social needs. Choice A addresses the need for safety by discussing the need for order and freedom from fear, making it the most basic. Choices B, C, and D relate to higher-level needs such as belongingness, esteem, and self-actualization, respectively. Choice B addresses the need for social connection, Choice C relates to self-actualization, and Choice D involves practicing assertiveness skills, which is related to esteem needs. Thus, Choice A is the most basic according to Maslow's hierarchy.
Question 3 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 4 of 5
A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?
Correct Answer: D
Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.
Question 5 of 5
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.