ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all the houses within a one-block area were wiped out. All of Lilly's household goods and clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. You assess the situation as:
Correct Answer: B
Rationale: The correct answer is B: An adventitious crisis. This type of crisis is caused by external events beyond a person's control, such as a natural disaster. In this scenario, Lilly's loss of her home and belongings due to the fire is an external event that led to her current state of distress. This crisis is not a result of her personal development or internal conflicts, ruling out options A, C, and D. Lilly's lack of support system and disorganization in seeking assistance further align with the characteristics of an adventitious crisis.
Question 2 of 5
While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the patients is 'really psycho.' Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
Correct Answer: B
Rationale: The correct answer is B: Public stigma. The nurse's action of addressing the receptionist's derogatory comment about a patient as 'really psycho' indicates an attempt to address public stigma. Public stigma refers to the negative attitudes and beliefs held by society towards individuals with mental health conditions. By discussing the inappropriate language used by the receptionist, the nurse is addressing the perpetuation of negative stereotypes and discrimination against individuals with mental health issues. Incorrect Choices: A: Lack of knowledge - This choice would imply that the nurse is addressing a lack of knowledge about mental health conditions, which is not the main issue in this scenario. C: Label avoidance - This choice would imply that the nurse is avoiding using stigmatizing labels, which is not the main focus of the scenario. D: Self-stigma - This choice would imply that the nurse is addressing the internalized stigma experienced by individuals with mental health conditions, which is not the main issue being addressed in this scenario.
Question 3 of 5
A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?
Correct Answer: D
Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.
Question 4 of 5
The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one's grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Step 1: The correct answer is B because research shows that although there may be stresses involved with grandparenting, the positive benefits such as increased sense of purpose, emotional satisfaction, and intergenerational bonding tend to outweigh the negatives. Step 2: Choice A is incorrect because the well-being of grandmothers is not always statistically more significant when they co-parent their grandchildren. It depends on individual circumstances. Step 3: Choice C is incorrect as it generalizes by stating that all white grandmothers experience less well-being when co-parenting, which is not supported by research. Step 4: Choice D is incorrect because it specifies only grandfathers and does not provide a well-rounded view of the influence of co-parenting on the mental health of grandparents.
Question 5 of 5
The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.