ATI RN
Mental Health Practice B ATI Questions
Question 1 of 9
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.
Question 2 of 9
A client with bipolar disorder has had a history of multiple episodes and states, I'm so frustrated with what's happened because of these episodes. Which of the following would the nurse encourage to help support this client's recovery?
Correct Answer: B
Rationale: The correct answer is B: Hope. Encouraging hope is essential for supporting a client with bipolar disorder as it fosters a positive outlook and motivation for recovery. Hope can help the client stay resilient during challenging times. Codependence (A) may enable maladaptive behaviors. Self-control (C) may be difficult for someone with bipolar disorder during episodes. Independent decision making (D) may be overwhelming without proper support. In summary, hope is crucial for maintaining optimism and perseverance in the recovery process.
Question 3 of 9
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.
Question 4 of 9
The nurse is working as part of a team to help reduce the stigma attached to mental health treatment for the older adult population. Which of the following would be most appropriate to do to achieve this outcome?
Correct Answer: A
Rationale: Correct Answer: A: Provide education about mental health and mental disorders. Rationale: 1. Education increases awareness and understanding of mental health, reducing stigma. 2. Older adults can learn about common mental disorders and treatment options. 3. Education promotes early recognition of symptoms and encourages seeking help. 4. Screening programs (B) focus on detection, not stigma reduction. Integrated care (C) and social support (D) are important but not directly address stigma.
Question 5 of 9
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced Nutrition: Less Than Body Requirements. In anorexia nervosa, clients typically have a distorted body image and intense fear of gaining weight, leading to restrictive eating behaviors. The behavioral plan for increasing weight directly addresses the issue of inadequate nutrition intake, which aligns with the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. The other options, such as A: Disturbed Body Image, B: Anxiety, and D: Ineffective Coping, may be secondary to the primary issue of malnutrition but are not the focus of the behavioral plan aimed at increasing weight in this case.
Question 6 of 9
A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse,"I'm really nervous about having ECT tomorrow." Which would be the best nursing response?
Correct Answer: B
Rationale: The correct answer is B. This response acknowledges the client's feelings, opens up communication, and allows the nurse to address specific concerns. It shows empathy and encourages the client to express their fears, leading to better understanding and support. Choice A is incorrect because offering medication without exploring the client's concerns may not address the root of their anxiety. Choice C is incorrect as it dismisses the client's feelings and suggests that their fears are unfounded. Choice D is incorrect because it focuses on the doctor's expertise, which may not alleviate the client's anxiety about the procedure.
Question 7 of 9
At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?" During the assessment of
Correct Answer: D
Rationale: The correct answer is D: coping strategies. This question is most relevant during the assessment of coping strategies because it directly pertains to how an individual copes with stress. By asking about the role of faith in stressful situations, the nurse can gain insight into the patient's coping mechanisms and support systems. This information can help tailor interventions to better support the patient's emotional and spiritual needs. A: childhood growth and development - This question is not directly related to childhood growth and development. B: substance use and abuse - This question focuses on a different aspect of the patient's life and does not address coping mechanisms. C: educational background - This question does not probe into the patient's coping strategies but rather focuses on their educational history.
Question 8 of 9
A category 5 tornado occurred in a community of 400 people. Many homes and businesses were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with PTSD. Which term best applies to these newly diagnosed cases?
Correct Answer: C
Rationale: Rationale: 1. The term "incidence" refers to the number of new cases of a condition within a specific time period. 2. In this scenario, the 140 individuals newly diagnosed with PTSD in the 2 years following the tornado represent the incidence of PTSD. 3. Prevalence (choice A) refers to the total number of cases present in a population at a specific time, not just new cases. 4. Comorbidity (choice B) is when two or more conditions coexist in an individual, not the occurrence of new cases. 5. Parity (choice D) refers to equality or equivalence, not the occurrence of new cases.
Question 9 of 9
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.