ATI RN
ATI RN Mental Health 2023 Questions
Question 1 of 5
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes the nurse's response?
Correct Answer: A
Rationale: The correct answer is A: Altruism. Altruism refers to selflessly helping others, even at the expense of one's own needs or emotions. In this scenario, the nurse who was not promoted initially displayed altruism by supporting the new manager and helping with the transition. This behavior shows a positive and supportive response towards others despite personal disappointment. Summary of other choices: B: Suppression involves consciously ignoring or pushing down unwanted emotions or thoughts, which is not evident in the nurse's response. C: Intellectualization is a defense mechanism where one focuses on facts and logic to distance themselves from emotions, which is not applicable in this scenario. D: Reaction formation is when one displays behaviors opposite to their true feelings, which does not align with the nurse's supportive and helpful response.
Question 2 of 5
A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?
Correct Answer: C
Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.
Question 3 of 5
A 4-year-old grabs toys from other children and says, "I want that now!" From a psychoanalytic perspective, this behavior is a product of impulses originating in which system of the personality?
Correct Answer: A
Rationale: Step 1: The behavior of grabbing toys impulsively and demanding them immediately reflects primitive, instinctual desires. Step 2: The Id, as per psychoanalytic theory by Freud, operates on the pleasure principle, seeking immediate gratification of basic needs and desires. Step 3: The Id is present from birth and represents innate drives such as hunger, aggression, and pleasure. Step 4: In this scenario, the child's impulsive and immediate desire for toys aligns with the characteristics of the Id. Summary: The other choices are incorrect because the Ego focuses on reality and mediates between the Id and Superego, the Superego represents internalized societal norms and values, and the Preconscious is part of the mind that holds thoughts not currently in awareness.
Question 4 of 5
Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.
Question 5 of 5
A client in an outpatient clinic states,"I am so tired of these medications." Which nursing response would encourage the client to elaborate further?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and shows empathy by directly acknowledging the client's statement. By repeating the client's words, it encourages further elaboration. Option A is incorrect as it simply acknowledges medication use without exploring the client's feelings. Option C shifts the focus away from the client's statement. Option D introduces family dynamics, which may not be relevant or may potentially pressure the client.