ATI RN
Mental Health Theories and Therapies ATI Quizlet Questions
Question 1 of 9
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Echolalia. Echolalia is the repetition of words or phrases spoken by others, often seen in clients with mental health disorders. In this scenario, the client repeating others' words indicates a lack of original speech and a possible communication disturbance. Echopraxia (A) is the imitation of movements, not words. Neologisms (B) are made-up words lacking meaning. Tangentiality (C) is a thought disorder where the individual goes off on a tangent unrelated to the topic. Therefore, D is the most appropriate choice in this context.
Question 2 of 9
When the nurse focuses on a client's specific behavior rather than on the individuality of the client, the nurse is using a strategy of nonthreatening feedback. Which of the following nursing statements are examples of this strategy? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it focuses on the specific behavior (throwing the book) rather than making a general statement about the client. This approach acknowledges the client's emotions (anger) while addressing the behavior as unacceptable. This feedback is nonthreatening as it separates the behavior from the individual, allowing for constructive discussion without attacking the client's character or making sweeping judgments. Explanation of why other choices are incorrect: B: This statement makes a sweeping judgment about the client being manipulative without addressing specific behaviors, which can be threatening and unhelpful. C: This statement generalizes the client as irresponsible without focusing on specific behaviors, which may be perceived as judgmental and threatening. D: This statement assumes the client is drug-seeking based on a single behavior without exploring underlying reasons or addressing the behavior specifically, which can be perceived as accusatory and threatening.
Question 3 of 9
A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?
Correct Answer: B
Rationale: The correct answer is B: "What did you experience just before and during the attack?" This question is appropriate because it helps gather information about the client's triggers and symptoms during the panic attack, aiding in identifying potential causes and providing appropriate interventions. By understanding the client's experience before and during the attack, the nurse can better assess the situation and provide personalized care. Incorrect Choices: A: "Are you feeling much better now that you are lying down?" - This question does not address the client's experience or provide insight into the panic attack triggers or symptoms. C: "Do you think you will be able to drive home?" - This question is not a priority at the initial assessment and does not focus on understanding the client's condition. D: "What do you think caused you to feel this way?" - While this question is relevant, it is not as specific as asking about the experience before and during the attack, which can provide more immediate information for intervention.
Question 4 of 9
For the client considering electroconvulsive therapy, what is the appropriate teaching?
Correct Answer: C
Rationale: The correct answer is C because ECT does use electrical stimulation to targeted areas of the brain, leading to seizure activity and therapeutic effects. Choice A is incorrect because ECT does require informed consent. Choice B is incorrect as ECT is actually used to treat severe cases of major depression. Choice D is incorrect as ECT does not use transcranial magnetic stimulation; it uses electrical currents.
Question 5 of 9
A student says, "Before taking a test, I feel very alert and a little restless." Which nursing intervention is most appropriate to assist the student?
Correct Answer: A
Rationale: The correct answer is A because it addresses the student's feelings of alertness and restlessness as being related to mild anxiety, which is common before tests. By explaining this and discussing helpful coping strategies, the nurse can provide reassurance and support. Choice B is incorrect as it is not necessary to involve a healthcare provider for mild anxiety symptoms. Choice C is incorrect because antioxidant supplements are not indicated for this situation. Choice D is incorrect as simply listening attentively may not address the underlying issue of anxiety.
Question 6 of 9
A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?
Correct Answer: B
Rationale: The correct answer is B: Cognitive behavioral therapy. This type of therapy is commonly used in conjunction with pharmacologic therapy for bulimia nervosa. Cognitive behavioral therapy helps the client identify and change unhealthy thoughts and behaviors related to eating and body image. It also teaches coping strategies and techniques to manage triggers. Behavioral therapy (A) focuses on changing specific behaviors, while cognitive behavioral therapy (B) combines changing behaviors with addressing thoughts and emotions. Interpersonal therapy (C) focuses on improving relationships and communication skills, which may be beneficial but is not the primary treatment for bulimia nervosa. Family therapy (D) involves the client's family in the treatment process, which can be helpful but is not as directly focused on individual behavior change as cognitive behavioral therapy.
Question 7 of 9
The abused person is often in a dependent position, relying on the abuser for basic needs. At particular risk are children and the elderly due to:
Correct Answer: B
Rationale: The correct answer is B: Their limited options. Abused individuals, especially children and the elderly, are often in a dependent position with limited resources or support networks, making it difficult for them to leave the abusive situation. This dependency creates a power imbalance, leaving them with few alternatives to escape the abuse. The other choices are incorrect because: A: The love they have for parents or children does not explain why they are at risk of abuse. C: The need to feel safe at home is actually compromised in abusive situations, so it does not explain why they are at risk. D: The fact that other relatives do not want them is not a universal reason for abuse and does not address the underlying issue of limited options leading to vulnerability.
Question 8 of 9
A nurse is talking to a parent about the steps taken to treat learning disorders. What does the nurse explain as the first priority?
Correct Answer: A
Rationale: The correct answer is A because conducting a full physical exam is essential to rule out vision, hearing, or medical causes contributing to the learning disorder. This step helps ensure that any underlying health issues are addressed first before moving on to other interventions. Referral to a speech-language pathologist (B) may be necessary later but does not address potential medical causes. Developing an individualized education program (C) is important but should come after addressing any physical health concerns. A 'wait-and-see' approach (D) is not recommended as early intervention is crucial for addressing learning disorders.
Question 9 of 9
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Echolalia. Echolalia is the repetition of words or phrases spoken by others, often seen in clients with mental health disorders. In this scenario, the client repeating others' words indicates a lack of original speech and a possible communication disturbance. Echopraxia (A) is the imitation of movements, not words. Neologisms (B) are made-up words lacking meaning. Tangentiality (C) is a thought disorder where the individual goes off on a tangent unrelated to the topic. Therefore, D is the most appropriate choice in this context.