ATI RN
Mental Health Proctored ATI 2023 Quizlet Questions
Question 1 of 5
The mother of a child with Asperger disorder tells the nurse that her child has few playmates. She states, 'He has such poor social skills with other children, and he strongly rejects any change in his routine by throwing a tantrum.' Based on this information, the nurse identifies which nursing diagnosis as the priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for Social Isolation related to poor social skills of the child. The priority is to address the risk of social isolation because the child's poor social skills and rejection of changes in routine are indicators of potential isolation from peers. Social interaction is crucial for a child's development, and addressing this risk can help improve the child's social skills and overall well-being. Choice A is incorrect because self-care deficits are not the priority in this scenario. Choice B is incorrect as the child's behavior does not directly indicate a risk for injury. Choice C is incorrect because the focus should be on the child's social needs rather than solely on the family's coping mechanisms.
Question 2 of 5
After teaching a group of students about the various concepts involving suicide, the instructor determines that the teaching was successful when the students describe parasuicide as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Nonfatal act with the intent to die. Parasuicide refers to self-harming behaviors that are not fatal but are carried out with the intention of causing harm or death to oneself. This differs from a voluntary act of killing oneself (Option A), as parasuicide does not result in death. It also differs from all suicide-related behaviors and thoughts (Option B), as parasuicide specifically involves nonfatal actions. Finally, it is distinct from a voluntary attempt without death as the aim (Option D), as parasuicide is characterized by the intent to die, even though death may not occur.
Question 3 of 5
When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in
Correct Answer: C
Rationale: The correct answer is C: milieu management. Milieu management involves creating a therapeutic environment that promotes the patient's well-being. In this scenario, the nurse is establishing the rules and daily schedule of the unit to help the patient feel safe and understand what to expect during their hospitalization. This process aims to create a supportive and structured environment for the patient. Explanation of why the other choices are incorrect: A: Counseling typically involves providing emotional support, guidance, and advice to help the patient cope with their situation. The nurse in this scenario is not primarily providing counseling. B: Health teaching involves educating the patient about their health condition, treatment, and self-care practices. While some health teaching may occur during the tour, the primary focus is on establishing the unit rules and schedule. D: Psychobiological intervention refers to interventions that address the interaction between psychological and biological factors. The nurse's actions in this scenario are more focused on environmental factors and establishing a therapeutic milieu rather than psychobiological interventions.
Question 4 of 5
A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurse's interpretation, the nurse would expect which behavior by the patient?
Correct Answer: B
Rationale: The correct answer is B because individuals with type A personalities are typically characterized by impatience, time urgency, and a desire for efficiency. Wanting the interview to be over as quickly as possible aligns with these traits. Choice A is incorrect as type A personalities are often characterized by being competitive and high-strung rather than relaxed. Choice C is incorrect as type A personalities tend to be impatient and may not be pleased with the pace of the interview. Choice D is incorrect as type A personalities are known for being quick to respond rather than speaking slowly.
Question 5 of 5
A parent says, 'My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?' Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often exhibit defiance and assert independence. Refusal of toilet training and saying 'No' are typical behaviors. 2. Toilet training readiness varies among children, and it is not uncommon for some to resist training until later. 3. Acknowledging the child's developmental stage and need for independence validates their behavior and helps parents understand it's a normal phase. Summary: - Choice A is incorrect as forcing firmer control can lead to power struggles and hinder the child's autonomy. - Choice C is incorrect as toilet training readiness varies, and it's not a definitive sign of developmental problems. - Choice D is incorrect as seeking a child psychologist for typical behavior may be unnecessary and premature.