ATI RN
ATI Mental Health Final Questions
Question 1 of 5
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
Correct Answer: A
Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.
Question 2 of 5
A patient with depression asks the nurse about possible herbal supplements. Which of the following would the nurse identify as being commonly used?
Correct Answer: B
Rationale: The correct answer is B: St. John's wort. St. John's wort is commonly used for treating depression due to its potential antidepressant effects. It works by increasing the levels of serotonin in the brain. Valerian (A) is primarily used for insomnia and anxiety. Kava (C) is used for anxiety and stress, not depression. Melatonin (D) is used for sleep disorders, not depression. Therefore, St. John's wort is the most appropriate choice for a patient with depression.
Question 3 of 5
A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following?
Correct Answer: B
Rationale: The correct answer is B because children often use fantasy to cope with their understanding of loss, as their cognitive development is not fully mature. Children may create alternate realities to help them process and make sense of difficult emotions. This coping mechanism is a common way for children to fill in the gaps in their understanding of loss. A is incorrect because children grieve differently based on their age and developmental stage. C is incorrect because families may grieve at different times, influenced by cultural, individual, and familial factors. D is incorrect because children and adults have different cognitive and emotional abilities, leading to unique ways of grieving.
Question 4 of 5
A Red Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman's pet poodle died as a result of the tornado. Which of the following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: The correct answer is A. The nurse would most likely expect to hear the woman express shock and numbness due to the traumatic event. This response aligns with the concept of psychological numbing, which is a common immediate reaction to severe trauma. The woman's statement of not being able to feel anything and nothing seeming real indicates a dissociative response, which is a typical initial coping mechanism in such situations. Choices B, C, and D are incorrect because they primarily focus on emotional devastation, practical concerns (insurance claim), and grief over the loss of the pet poodle, respectively. While these responses are valid emotional reactions, they do not reflect the typical immediate psychological response to a traumatic event like the one described. In contrast, choice A captures the expected initial shock and numbness often experienced in such circumstances.
Question 5 of 5
While interviewing a client diagnosed with a delusional disorder, the client states, 'I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I've seen so many doctors, and they can't tell me what's wrong.' The nurse interprets the client's statement as reflecting which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Somatic. This is because the client's belief about having a strange odor coming out of their mouth, despite medical professionals not finding any physical cause, aligns with a somatic delusion. Somatic delusions involve false beliefs about one's body, health, or appearance. In this case, the client's preoccupation with the perceived odor falls under the somatic delusion category. Explanation for other choices: A: Erotomanic delusions involve the belief that someone, usually of higher status, is in love with the individual. This does not align with the client's statement about the strange odor. B: Grandiose delusions involve exaggerated beliefs about one's importance, power, or abilities. The client's statement about the strange odor does not reflect grandiosity. D: Jealous delusions involve unfounded beliefs about a partner's infidelity. This also does not relate to the client's statement about the odor.