ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be male. This change in identity is considered:
Correct Answer: C
Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.
Question 2 of 5
A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?
Correct Answer: B
Rationale: The correct answer is B because explaining the relationship between physical symptoms and psychological state helps the patient understand the connection, reducing anxiety and fear. Triggering flashbacks intentionally (A) can worsen symptoms. Encouraging repression of memories (C) can lead to increased distress. Supporting 'numbing' (D) may hinder emotional processing and can be maladaptive in the long term.
Question 3 of 5
A college student received an invitation to attend the wedding of a close friend who lives across the country. The student is afraid of flying. Which type of therapy would be most helpful for this patient?
Correct Answer: C
Rationale: The correct answer is C: Systematic desensitization. This therapy gradually exposes the patient to their fear in a controlled manner to reduce anxiety. In this case, the student's fear of flying can be addressed by incrementally exposing them to flying-related stimuli, helping them build confidence and reduce fear. Choice A (Psychoanalysis) focuses on exploring unconscious thoughts and childhood experiences, not directly addressing the fear of flying. Choice B (Aversion therapy) involves associating a negative stimulus with the unwanted behavior, which may not be effective for overcoming a fear of flying. Choice D (Short-term dynamic therapy) is a brief form of psychoanalytic therapy, but it may not provide the structured approach needed to address specific phobias like fear of flying.
Question 4 of 5
A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse determines that the client is experiencing which degree of anxiety?
Correct Answer: C
Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.
Question 5 of 5
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.