ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to:
Correct Answer: B
Rationale: The correct answer is B: Pubescent individuals. Hebephilia is a paraphilic disorder characterized by a primary or exclusive sexual interest in individuals who are in the early stages of puberty, typically around the ages of 11 to 14. This is different from pedophilic disorder, which involves a sexual preference for prepubescent children. Choice A (Infants) is incorrect as infants are prepubescent. Choice C (Teens between the ages of 15 and 19) is incorrect as these individuals are typically considered adolescents rather than pubescent. Choice D (Males only) is incorrect as hebephilia can occur in individuals of any gender.
Question 2 of 5
What is a cause of pseudodementia?
Correct Answer: B
Rationale: The correct answer is B: severe depression. Pseudodementia refers to cognitive symptoms that mimic dementia but are actually caused by a psychiatric disorder like severe depression. This condition can be reversed with appropriate treatment for the underlying depression. Medication reaction (choice A) can cause cognitive impairment but is not specific to pseudodementia. Old age (choice C) is not a direct cause of pseudodementia. Genetics (choice D) may play a role in some forms of dementia but not in pseudodementia caused by severe depression.
Question 3 of 5
What personality disorder is most likely to be associated with illegal activity?
Correct Answer: A
Rationale: The correct answer is A: antisocial personality disorder is most likely to be associated with illegal activity. Individuals with this disorder often exhibit a disregard for the rights of others, impulsivity, and a lack of remorse, making them prone to engaging in criminal behavior. Borderline personality disorder (B) is characterized by unstable relationships and emotions, but not necessarily criminal behavior. Dependent personality disorder (C) involves an excessive need to be taken care of, and schizoid personality disorder (D) is characterized by social detachment, both of which are not typically associated with illegal activity.
Question 4 of 5
On an inpatient psychiatric unit, a client diagnosed with borderline personality disorder is challenging other clients and splitting staff. Which response by the nurse reflects the nurse's role of milieu manager?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Setting strict limits and communicating them to all staff members is the most appropriate response as a milieu manager. In an inpatient psychiatric unit, creating a structured and consistent environment is crucial for managing challenging behaviors, such as those exhibited by a client with borderline personality disorder. By setting clear boundaries and ensuring all staff members are aware of them, the nurse establishes a safe and therapeutic milieu for all clients. This approach helps maintain a stable and supportive setting, promoting positive interactions among clients and staff. Summary: - Choice B (Using role-play): While role-play can be a valuable therapeutic technique, it may not directly address the immediate need to manage challenging behaviors in the milieu. - Choice C (Seeking orders for forced medications): This is not the appropriate course of action as forcing medications should be a last resort and should only be considered in situations where the client is at imminent risk of harm. - Choice D (Holding a group session on relationship skills): While group sessions
Question 5 of 5
A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?
Correct Answer: D
Rationale: The correct answer is D: The client has respect for members of the health-care team. Rationale: 1. In some cultures, making direct eye contact with authority figures, like healthcare professionals, can be seen as a sign of respect. 2. By making eye contact only with the family, the client might be showing deference and respect towards the healthcare team. 3. This behavior suggests that the client values the input and presence of the healthcare team in the decision-making process. 4. Choices A, B, and C do not align with the behavior described and are not supported by the cultural perspective of respect and communication.