The highest-priority goal of crisis intervention is:

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ATI Real Life Mental Health Schizophrenia Questions

Question 1 of 5

The highest-priority goal of crisis intervention is:

Correct Answer: D

Rationale: The correct answer is D: Patient safety. In crisis intervention, ensuring the safety of the individual in crisis is the highest priority. This includes preventing harm to themselves or others. Addressing anxiety (A) is important, but not the primary goal. Identifying supports (B) and teaching coping skills (C) are also crucial, but ensuring immediate safety takes precedence. Patient safety is the foundation upon which effective crisis intervention is built, providing a sense of security and stability to address other needs.

Question 2 of 5

A parent of a three-year-old child with ASD has called the local school district to inquire about resources available to support her child. The child's pediatrician referred the mother to the school district. What information can the school nurse share about the primary source of support at this age?

Correct Answer: B

Rationale: The correct answer is B: "Your child may be eligible to attend a developmental preschool program." At the age of three, children with ASD can benefit from early intervention services provided by developmental preschool programs to support their learning and social skills development. These programs offer specialized support tailored to the child's needs. Choice A is incorrect as early intervention programs are typically coordinated by the local school district, not the state directly. Choice C is incorrect as children with ASD can receive services before kindergarten. Choice D is incorrect as it is the responsibility of the school district to provide appropriate support services for children with disabilities.

Question 3 of 5

According to Maslow's hierarchy of needs, which of the following client actions would be considered most basic? Select all that apply.

Correct Answer: A

Rationale: According to Maslow's hierarchy of needs, the most basic needs are physiological needs, safety needs, and then social needs. Choice A addresses the need for safety by discussing the need for order and freedom from fear, making it the most basic. Choices B, C, and D relate to higher-level needs such as belongingness, esteem, and self-actualization, respectively. Choice B addresses the need for social connection, Choice C relates to self-actualization, and Choice D involves practicing assertiveness skills, which is related to esteem needs. Thus, Choice A is the most basic according to Maslow's hierarchy.

Question 4 of 5

A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?

Correct Answer: C

Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.

Question 5 of 5

A 26-month-old displays negative behavior, refuses toilet training, and often says, "No!" Which psychosocial crisis is evident?

Correct Answer: D

Rationale: The correct answer is D: Autonomy versus shame and doubt. At 26 months, children are in the toddler stage where they are developing autonomy and independence. The child's negative behavior, refusal of toilet training, and constant use of "No!" suggest a struggle with asserting independence (autonomy) while also feeling the shame and doubt associated with not meeting expectations. This aligns with Erikson's psychosocial stage of Autonomy versus shame and doubt. A: Trust versus mistrust is resolved in infancy, where the child develops trust in caregivers. B: Initiative versus guilt occurs in early childhood when children explore their abilities and may feel guilty for overstepping boundaries. C: Industry versus inferiority is experienced in middle childhood, focusing on feelings of competence and accomplishment versus inadequacy. In summary, the child's behavior and resistance to toilet training indicate a conflict between asserting independence and feeling shame and doubt, which aligns with Autonomy versus shame and doubt.

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