ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 9
What type of development is described in Piaget's theory?
Correct Answer: C
Rationale: In Piaget's theory, the type of development described is cognitive development. Piaget focused on how individuals acquire knowledge, understand the world, and solve problems as they grow. He identified key stages like sensorimotor, preoperational, concrete operational, and formal operational. Cognitive development involves mental processes such as thinking, memory, problem-solving, and language acquisition. Moral development (A) refers to understanding right and wrong, interpersonal development (B) focuses on social relationships, and emotional development (D) pertains to managing emotions. Therefore, the correct answer is C (cognitive) as it aligns with Piaget's emphasis on intellectual growth and understanding.
Question 2 of 9
A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates rationalization by shifting blame onto the provoked person instead of taking responsibility for the abusive behavior. The person justifies their actions by claiming the other person provoked them, which is a common tactic used by abusers to avoid accountability. Choice A lacks justification or reasoning for the behavior. Choice B refers to a lack of impulse control, not rationalization. Choice D shows introspection and self-awareness, which is not characteristic of rationalization. Thus, C is the best example of rationalization in this context.
Question 3 of 9
A patient was admitted to the hospital after a suicide attempt made after his daughter was killed in an automobile accident during which he had been driving and survived with only minor injuries. Even though the accident was unavoidable, he feels responsible. During the assessment interview, the patient begins to describe the last conversation he had with his daughter before he lost control of the automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He makes a visible attempt to 'straighten up' and smiles superficially at the nurse, stating, 'I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I'll be as good as new by tomorrow.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's minimization of his suicidal attempt and encourages him to acknowledge the severity of the situation. By stating that he will not be ready to go home by tomorrow, the nurse challenges the patient's attempt to downplay his emotions and the seriousness of his actions. This response shows empathy and concern for the patient's well-being, guiding him towards accepting the help and support he truly needs. Choices A, B, and C are incorrect because: A: While asking about the daughter and their relationship is important for building rapport, it does not address the immediate concern of the patient's suicidal attempt. B: Agreeing with the patient's statement and suggesting a good night's rest minimizes the seriousness of the situation and fails to address the patient's emotional distress. C: Questioning the patient's statement of being as good as new does not directly confront the seriousness of the suicide attempt and may not prompt the patient to reconsider his minimization of the situation.
Question 4 of 9
What type of development is described in Piaget's theory?
Correct Answer: C
Rationale: In Piaget's theory, the type of development described is cognitive development. Piaget focused on how individuals acquire knowledge, understand the world, and solve problems as they grow. He identified key stages like sensorimotor, preoperational, concrete operational, and formal operational. Cognitive development involves mental processes such as thinking, memory, problem-solving, and language acquisition. Moral development (A) refers to understanding right and wrong, interpersonal development (B) focuses on social relationships, and emotional development (D) pertains to managing emotions. Therefore, the correct answer is C (cognitive) as it aligns with Piaget's emphasis on intellectual growth and understanding.
Question 5 of 9
The nurse understands that one of the many strategies of nonthreatening feedback is to limit the feedback to an appropriate time and place. While in the milieu, which nursing statement is an example of this strategy?
Correct Answer: A
Rationale: Rationale: A is the correct answer because it demonstrates the strategy of providing feedback at an appropriate time and place, which is the conference room after visiting hours. This allows for privacy and a conducive environment for discussion. B, C, and D are incorrect because they do not consider the appropriateness of the time and place for feedback. B is insensitive to the patient's situation, C brings up a sensitive topic without regard for privacy, and D suggests discussing a grievance in a group setting, which may not be appropriate for addressing personal concerns.
Question 6 of 9
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment. Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service. Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization. Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.
Question 7 of 9
A nurse is readmitting a client with a co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, I'm just a failure. I'll never be anything but just a drunk. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A because it validates the client's experience while offering hope and encouragement for learning from the relapse. It normalizes relapse as part of the recovery process and emphasizes the opportunity for growth and prevention in the future. Option B is incorrect as it reinforces a negative self-image and fatalistic view of alcoholism. Option C incorrectly links schizophrenia with alcohol abuse, potentially stigmatizing the client. Option D is not as therapeutic as A, as it does not address the client's negative self-perception or provide guidance for coping with relapse.
Question 8 of 9
An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
Correct Answer: B
Rationale: The correct answer is B because it focuses on the perpetrator recognizing destructive patterns and learning alternate responses, which are essential in addressing and preventing abusive behavior. This outcome promotes long-term change by targeting the root cause of the abuse and promoting healthier behaviors. A: Decreasing family interaction does not address the underlying issues of abuse and may not lead to behavior change in the perpetrator. C: Removing the perpetrator from the family may not address the root cause of the abuse and may not lead to sustainable change. D: While a combination of treatment modalities can be beneficial, the focus should be on addressing the behavioral patterns and mindset of the perpetrator.
Question 9 of 9
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.