ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 9
On an inpatient psychiatric unit, a client who is anxious and distressed states,"God has abandoned me." Which nursing action would initiate collaboration with the member of the mental health-care team who can assist this client with this assessed problem?
Correct Answer: D
Rationale: The correct answer is D: Consult with the chaplain and describe the client's concerns. This option recognizes the client's spiritual distress and seeks collaboration with a member of the mental health-care team who is trained to address spiritual and religious concerns. The chaplain can provide emotional and spiritual support, guidance, and counseling to help the client cope with feelings of abandonment. Option A is incorrect because solely relying on medication for spiritual distress may not address the root cause. Option B is incorrect as community resources are not directly addressing the client's spiritual concerns. Option C is incorrect as testing may not be necessary for addressing this specific issue of feeling abandoned by God.
Question 2 of 9
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
Correct Answer: C
Rationale: The correct answer is C because it suggests that the client may be seeking attention and validation through illness, which is characteristic of factitious disorder. The client's statement implies a pattern of feeling loved only when they were sick, indicating a potential motivation for feigning illness. Explanation: - A: This choice indicates a lack of nurturing throughout childhood, but it does not specifically point to seeking attention through illness. - B: Feeling loved only when achieving academic success does not directly relate to seeking attention through illness. - D: Feeling loved after a negative event (spanking) does not align with seeking attention through illness.
Question 3 of 9
Why should the nurse determine the level of anxiety displayed by the older adult client?
Correct Answer: B
Rationale: The correct answer is B. Determining the level of anxiety in an older adult client is crucial for using an effective nursing intervention. By assessing anxiety levels, the nurse can tailor interventions such as relaxation techniques or therapeutic communication to address the client's needs. This personalized approach promotes better outcomes. Choice A is incorrect because determining anxiety levels should not solely be for administering medication without considering non-pharmacological interventions. Choice C is incorrect as anxiety assessment is not directly related to offering a specific diet. Choice D is incorrect because reporting to the prescriber is important but should not be the primary reason for assessing anxiety levels.
Question 4 of 9
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: a client with indications of hypovolemic shock. This is the priority because hypovolemic shock is a life-threatening condition resulting from severe blood loss. In a mass casualty situation, identifying and treating clients with hypovolemic shock promptly is crucial to prevent further deterioration. Clients with massive head trauma (A) and full thickness burns (B) also require urgent care, but hypovolemic shock leads to rapid decline and requires immediate intervention. A client with an open fracture (D) can be stabilized and managed after addressing the more critical condition of hypovolemic shock.
Question 5 of 9
A client on a psychiatric unit who practices Orthodox Judaism declines to eat any of his ham, rice, and vegetable entrée. Which information about Jewish culture would the nurse attribute to this behavior?
Correct Answer: C
Rationale: The correct answer is C: The client is following kosher dietary laws. In Orthodox Judaism, adherents follow strict dietary laws known as kosher laws. These laws prohibit the consumption of certain foods, including pork (ham) and the mixing of meat and dairy products. Rice is allowed under kosher laws, so the client declining the entrée is likely due to the presence of ham, which is not kosher. Explanation of other choices: A: The client being allergic to rice would not explain why he is declining the entire entrée, which includes ham and vegetables. B: Being a vegetarian would not explain why the client is declining the entrée specifically because of the presence of ham, which is not a vegetarian concern. D: The dietary laws of Islam (halal) are different from kosher laws, so this would not apply to the client's behavior in this context.
Question 6 of 9
A patient says, "I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?
Correct Answer: B
Rationale: The correct answer is B: Overgeneralization. This cognitive distortion involves making broad conclusions based on limited evidence or a single incident. In this scenario, the patient is overgeneralizing their positive feelings to wearing a size 2 petite, assuming that it always makes them feel good. This conclusion is not logically supported by the limited information provided. A: Disqualifying the positive involves ignoring positive experiences or qualities. This is not the case here as the patient is emphasizing a positive feeling. C: Catastrophizing involves magnifying or exaggerating negative events. This is not evident in the patient's statement. D: Personalization involves attributing external events to oneself. This is not relevant to the patient's statement about clothing size.
Question 7 of 9
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
Correct Answer: C
Rationale: The correct answer is C because in the family systems therapy model, triangulation occurs when one family member involves a third person to reduce tension between two. In this scenario, the son becomes the "third person" and may develop problematic symptoms (such as stress, acting out) due to the increased attention from the mother. This can lead to emotional and behavioral issues in the child. Choice A is incorrect because enjoying attention does not align with the typical response in triangulation. Choice B is incorrect as it focuses on blaming the father, which is not a direct consequence of triangulation. Choice D is incorrect as it implies resentment towards both parents, which is not always the case in triangulation.
Question 8 of 9
During an interview, a patient states, 'I feel so guilty, and I'm so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Negative emotion. The patient expressing guilt and shame indicates a negative emotion, as these feelings are typically associated with self-blame and remorse. This suggests the patient may be experiencing distress or psychological burden. Choices B, C, and D are incorrect as they do not accurately reflect the patient's emotional state. Positive emotion (B) would be indicated by expressions of joy or happiness. Borderline emotion (C) typically refers to a specific personality disorder, not a general emotional state. Nonemotion (D) implies a lack of emotional response, which is not the case here.
Question 9 of 9
Which statement made by the psychiatric nurse demonstrates an accurate understanding of the factors that affect an individual's personality?
Correct Answer: B
Rationale: The correct answer is B because understanding an individual's cultural beliefs is crucial in comprehending the factors that shape their personality. Culture influences values, behaviors, and perceptions, impacting personality development. By learning about the patient's cultural background, the nurse can better tailor care and interventions. Choices A, C, and D are incorrect: A: This statement oversimplifies the complexity of personality issues and does not address the multifactorial nature of personality development. C: This statement is misleading as personality disorders can be challenging to treat and may not always respond well to interventions. D: This statement is inaccurate as it suggests that personality is solely determined by social situations, overlooking the role of biological and environmental factors in shaping personality.