ATI RN
Mental Health Final ATI Questions
Question 1 of 5
The nurse states to a client on an inpatient unit,"Tell me what's been on your mind." Which describes the purpose of this therapeutic communication technique?
Correct Answer: A
Rationale: The correct answer is A: To have the client choose the topic of the conversation. By asking the client to share what's on their mind, the nurse is allowing the client to lead the discussion and express their concerns or thoughts. This empowers the client to direct the conversation towards what is most important to them, promoting client-centered care and fostering a sense of autonomy. Choice B is incorrect because the purpose is not to present new ideas but to encourage the client to share their own thoughts. Choice C is incorrect as conveying interest is important in therapeutic communication but not the primary purpose of this specific technique. Choice D is incorrect as the purpose is not specifically to provide time for reflection but to allow the client to initiate the conversation.
Question 2 of 5
After a Category 5 tornado hits a community and destroys many homes and businesses, a community mental health nurse encourages victims to describe their memories and feelings about the event. This action by the nurse best demonstrates
Correct Answer: B
Rationale: The correct answer is B: primary prevention. By encouraging victims to describe their memories and feelings about the tornado, the nurse is promoting emotional processing and resilience, which are key components of primary prevention. This approach aims to prevent the development of long-term mental health issues by addressing immediate emotional needs. Explanation for incorrect choices: A: Triage involves prioritizing and allocating resources based on the severity of the situation. While important after a disaster, encouraging victims to share their experiences is not directly related to triage. C: Psychosocial rehabilitation focuses on restoring functioning and quality of life for individuals with existing mental health issues. This choice does not align with the scenario of addressing immediate emotional responses to a traumatic event. D: Psychiatric case management involves coordinating services for individuals with severe mental illness. This choice is not relevant in the context of supporting victims of a natural disaster in processing their emotions.
Question 3 of 5
A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient
Correct Answer: D
Rationale: The correct answer is D because it aligns with the concept of cultural competence. Puerto Rican American culture values expressive body language to convey emotions. This behavior is not indicative of a histrionic personality disorder (A), sexual appeal (B), or seeking attention (C). Understanding cultural norms is crucial in interpreting patient behavior accurately.
Question 4 of 5
As part of a career day presentation to a group of nursing students, a psychiatric-mental health nurse plans to describe how this specialty developed. Which individual would the nurse describe as playing a major role in the development of specialty training programs for psychiatric nurses?
Correct Answer: B
Rationale: The correct answer is B: Hildegarde Peplau. She is considered the mother of psychiatric nursing and played a major role in developing specialty training programs for psychiatric nurses. Peplau's interpersonal theory of nursing emphasized the importance of the nurse-patient relationship in mental health care, leading to the integration of psychological principles into nursing practice. Nutting (A) was a nursing education pioneer, Bailey (C) was known for her work in public health nursing, and Richards (D) was the first trained nurse in the US, but they did not have the same impact on psychiatric nursing training as Peplau.
Question 5 of 5
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or attitudes onto the patient, based on personal issues or past relationships. In this scenario, the nurse is reacting to the patient as if he was her grandfather, indicating a personal connection influencing her behavior. Incorrect choices: A: Empathy is the ability to understand and share the feelings of another. While empathy is important in nursing, it does not involve projecting personal experiences onto the patient. B: Transference refers to the patient projecting feelings onto the nurse based on past experiences. It is the opposite of countertransference. D: Modeling involves observing and imitating the behavior of others, which is not the case in this scenario.