ATI RN
ATI Active Learning Template Basic Concept Mental Health Questions
Question 1 of 5
The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
Correct Answer: B
Rationale: The correct answer is B because the statement reflects the hallmark symptom of agoraphobia, which is the fear of leaving one's safe space. The patient expresses the irrationality of their fear but still feels unable to go out. Choice A indicates optimism and a belief in overcoming the fear, not consistent with agoraphobia. Choice C suggests social support for staying home, which is not a characteristic of agoraphobia. Choice D implies the ability to go out with motivation, which is not in line with the persistent fear and avoidance seen in agoraphobia.
Question 2 of 5
On an inpatient psychiatric unit, a client, who follows a traditional Taoist philosophy, states,"I must have warm ginger root for my migraine headache." The nurse, understanding the effects of cultural influences, attaches which meaning to this statement?
Correct Answer: C
Rationale: Step 1: Taoism emphasizes balance between yin and yang energies. Step 2: Traditional Taoist philosophy includes using natural remedies like ginger for health. Step 3: Client's request aligns with Taoist principles of balancing energies for health. Step 4: Therefore, the nurse attaches meaning C to the client's statement. Summary: A is incorrect as it assumes obstinacy, B is incorrect as it misinterprets Taoist beliefs, and D is incorrect as it assumes refusal based on medication.
Question 3 of 5
A client with co-occurring disorders of schizophrenia and substance abuse is admitted for treatment. Which of the following would the nurse be least likely to identify as a priority for this client?
Correct Answer: B
Rationale: The correct answer is B: Group therapy. In the case of a client with schizophrenia and substance abuse, the priority is addressing immediate safety concerns, such as controlling psychiatric symptoms and managing withdrawal symptoms. Group therapy may not be as crucial initially compared to individual therapy and medication management. Treatment decisions should be individualized based on the client's needs. Group therapy can be beneficial but may not be the immediate priority for this client.
Question 4 of 5
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Correct Answer: C
Rationale: The correct answer is C because feeling unusually happy when the patient's mood improves could indicate countertransference. Countertransference occurs when the nurse projects their own emotions onto the patient, potentially interfering with therapeutic boundaries. In this scenario, the nurse's emotional response may be a sign of unresolved issues or a personal connection to the patient's situation, which could impact the therapeutic relationship. A: The patient's reactions being realistic and appropriate does not necessarily indicate countertransference. B: The patient comparing the nurse to their parents may trigger personal feelings but does not directly suggest countertransference. D: Developing a trusting relationship is a positive aspect of therapeutic communication and does not inherently indicate countertransference.
Question 5 of 5
Which patient has the greatest risk for suicide?
Correct Answer: A
Rationale: The correct answer is A because the patient's behavior of searching for child pornography indicates a high risk for acting on harmful impulses. This behavior is illegal and harmful to children, suggesting severe mental health issues. Choice B may indicate relationship problems but not immediate risk of harm. Choice C involves inappropriate behavior but not necessarily self-harm. Choice D indicates concerning thoughts but not immediate risk of harm to oneself. Suicidal risk is highest when an individual shows dangerous behaviors or intentions, such as in choice A.