ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
What is a nursing intervention for a depressed client who reports reduced interest and pleasures?
Correct Answer: A
Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.
Question 2 of 5
While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.
Question 3 of 5
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced a major life crisis with which score on the questionnaire?
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire assigns a numerical value to different life events. Major life crises are associated with higher scores on the questionnaire. The correct answer is D (450) because it represents a significantly high score indicating a major life crisis. Choices A, B, and C have lower numerical values, which do not reflect the severity of a major life crisis. Therefore, D is the correct choice for identifying a major life crisis based on the Recent Life Changes Questionnaire.
Question 4 of 5
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.
Question 5 of 5
What personality disorder is characterized by magical thinking, or the idea that one can influence the outcome of specific events by doing something that has no bearing on the circumstances?
Correct Answer: C
Rationale: The correct answer is C: schizotypal personality disorder. This disorder is characterized by magical thinking, where individuals believe they can influence events through unrelated actions. This is a key feature of schizotypal personality disorder, along with other symptoms such as odd beliefs or behaviors, social anxiety, and eccentricity. A: Obsessive-compulsive personality disorder is characterized by perfectionism, rigidity, and control, not magical thinking. B: Schizoid personality disorder is characterized by social detachment and limited emotional expression, not magical thinking. D: Avoidant personality disorder is characterized by extreme shyness and fear of rejection, not magical thinking. In summary, schizotypal personality disorder is the correct answer due to its specific association with magical thinking, distinguishing it from the other options.