ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 2 of 5
A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?
Correct Answer: B
Rationale: The correct answer is B: Group therapy. In the case of a client with schizophrenia and substance abuse, the priority is addressing immediate safety concerns, such as controlling psychiatric symptoms and managing withdrawal symptoms. Group therapy may not be as crucial initially compared to individual therapy and medication management. Treatment decisions should be individualized based on the client's needs. Group therapy can be beneficial but may not be the immediate priority for this client.
Question 3 of 5
During an assessment, the patient states, 'We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him.' The nurse interprets this as indicating which of the following?
Correct Answer: B
Rationale: The correct answer is B: Cultural identity. This is because the patient's statement reflects their sense of belonging and connection to their cultural group through shared values and practices related to family support and respect for elders. Acculturation (A) refers to adapting to a new culture, not necessarily reflecting one's existing cultural identity. Cultural competence (C) involves understanding and respecting different cultures, which is not explicitly demonstrated in the patient's statement. Linguistic competence (D) relates to the ability to communicate effectively in different languages, which is not the focus of the patient's statement.
Question 4 of 5
After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state which of the following?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding and acceptance of the child's condition, emphasizing that the child is not inherently bad. This statement shows empathy, understanding, and willingness to support the child. Choice B is incorrect because it focuses on a potential negative outcome rather than addressing the immediate needs of the child with ADHD. Choice C is incorrect because stopping medication abruptly can have negative consequences on symptom management and may not accurately assess the medication's effectiveness. Choice D is incorrect because consistency and firm boundaries are essential for children with ADHD, and allowing occasional violations of limits may not be conducive to the child's development and symptom management.
Question 5 of 5
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Correct Answer: C
Rationale: The correct answer is C because feeling unusually happy when the patient's mood improves could indicate countertransference. Countertransference occurs when the nurse projects their own emotions onto the patient, potentially interfering with therapeutic boundaries. In this scenario, the nurse's emotional response may be a sign of unresolved issues or a personal connection to the patient's situation, which could impact the therapeutic relationship. A: The patient's reactions being realistic and appropriate does not necessarily indicate countertransference. B: The patient comparing the nurse to their parents may trigger personal feelings but does not directly suggest countertransference. D: Developing a trusting relationship is a positive aspect of therapeutic communication and does not inherently indicate countertransference.