ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
Select the most appropriate label to complete this nursing diagnosis: related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Correct Answer: C
Rationale: The correct answer is C: Social isolation. In this scenario, the individual is experiencing isolation due to feelings of shyness and lack of social skills, leading them to watch TV alone every evening. This choice directly reflects the situation described and addresses the root cause of the behavior. A: Deficient knowledge does not address the social aspect of the issue. B: Ineffective coping implies the individual is trying to cope with a specific stressor, not necessarily related to social interactions. D: Powerlessness does not capture the essence of the individual's situation, which is more about social withdrawal than a sense of powerlessness.
Question 2 of 5
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
Correct Answer: C
Rationale: The correct answer is C. Speaking to the patient in his native language may not necessarily be the most effective approach as not all individuals from the same culture speak the same language. It is important to recognize that language and culture are not always directly correlated. Demonstrating genuine interest (A), avoiding assumptions (B), and acquiring information about the patient's country (D) are all crucial aspects of providing culturally competent care as they help in understanding the patient's background, beliefs, and values. However, assuming that speaking the patient's native language automatically promotes cultural competence overlooks the diversity within cultures.
Question 3 of 5
A patient was admitted to the hospital after a suicide attempt made after his daughter was killed in an automobile accident during which he had been driving and survived with only minor injuries. Even though the accident was unavoidable, he feels responsible. During the assessment interview, the patient begins to describe the last conversation he had with his daughter before he lost control of the automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He makes a visible attempt to 'straighten up' and smiles superficially at the nurse, stating, 'I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I'll be as good as new by tomorrow.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's minimization of his suicidal attempt and encourages him to acknowledge the severity of the situation. By stating that he will not be ready to go home by tomorrow, the nurse challenges the patient's attempt to downplay his emotions and the seriousness of his actions. This response shows empathy and concern for the patient's well-being, guiding him towards accepting the help and support he truly needs. Choices A, B, and C are incorrect because: A: While asking about the daughter and their relationship is important for building rapport, it does not address the immediate concern of the patient's suicidal attempt. B: Agreeing with the patient's statement and suggesting a good night's rest minimizes the seriousness of the situation and fails to address the patient's emotional distress. C: Questioning the patient's statement of being as good as new does not directly confront the seriousness of the suicide attempt and may not prompt the patient to reconsider his minimization of the situation.
Question 4 of 5
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: D
Rationale: The correct answer is D: Inpatient anger management group. An open group allows members to join or leave at any time, and new members can be added throughout the group's duration. In an inpatient setting, such as an anger management group, individuals may come and go due to varying lengths of stay. This flexibility in membership aligns with the characteristics of an open group. Choice A (Outpatient smoking cessation group) is incorrect because outpatient groups typically have a set start and end date, making them more closed in nature. Choice B (Community clinic psychoeducation group) is incorrect as these groups usually have a defined curriculum and limited spots, making them closed groups. Choice C (Ambulatory psychotherapy group) is also incorrect as these groups often have a set number of sessions with the same members attending each session, making them more closed than open.
Question 5 of 5
A patient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask?
Correct Answer: C
Rationale: The correct answer is C because asking about the specific event that the patient finds most stressful helps identify the stressor. Understanding the cause of stress is crucial in managing it effectively. Choice A focuses on the impact of stress, not the cause. Choice B is related to social support, not the primary stressor. Choice D is about the timing of stress awareness, not the stressor itself. By identifying the specific stressor, the nurse can develop targeted interventions and support for the patient.