ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 9
Which disorder is an example of a culture-bound syndrome?
Correct Answer: C
Rationale: The correct answer is C, Running amok, as it is a culture-bound syndrome specific to certain cultures where individuals exhibit sudden outbursts of violence. This behavior is not seen as a mental disorder in those cultures but rather a culturally accepted phenomenon. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed across various cultures without cultural specificity.
Question 2 of 9
What theorist defined growth as development in stages with a positive and negative consequence if not met?
Correct Answer: D
Rationale: Erikson defined growth as development in stages with a positive and negative consequence if not met. He introduced the concept of psychosocial development, emphasizing the importance of resolving conflicts at each stage. Peplau focused on interpersonal relations in nursing, Orenstein is known for her work on gender development, and Freud's psychosexual theory is different from Erikson's psychosocial theory. Erikson's stages are distinct for each age group, with specific tasks to be accomplished, making choice D the correct answer.
Question 3 of 9
A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis?
Correct Answer: B
Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.
Question 4 of 9
A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan?
Correct Answer: C
Rationale: Rationale: Choice C is correct because understanding potential side effects like difficulty sleeping is crucial for the client's adherence to the medication plan. Sertraline can cause sleep disturbances initially. Choices A, B, and D are incorrect. A immediate relief is unlikely with antidepressants, B increased urination is not a common side effect of sertraline, and D sodium intake is not typically a concern with this medication.
Question 5 of 9
A group of nurses is in a discussion about the homeless population in their community as a means for developing appropriate programs for this group. Which statement by one of the members indicates a need for the group to address the nurse's stereotypical thinking?
Correct Answer: C
Rationale: The correct answer is C because it reflects a stereotype that homeless individuals are unwilling to accept services, which may lead to biased assumptions and hinder effective program development. This statement implies a lack of understanding and empathy towards the homeless population. A: Choice A is incorrect because it acknowledges the resilience and resourcefulness of homeless individuals, which is not necessarily a stereotype or negative assumption. B: Choice B is incorrect because it recognizes the diversity within the homeless population, which is an important consideration but does not directly address stereotypical thinking. D: Choice D is incorrect because it presents a factual statement about the duration of homelessness but does not address stereotypical thinking or biases.
Question 6 of 9
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
Correct Answer: C
Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process. Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.
Question 7 of 9
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using substances like alcohol and marijuana is a common maladaptive coping mechanism in individuals with dissociative disorders to escape or numb painful emotions. This behavior indicates ineffective coping as the patient is not addressing their underlying issues. A: Having no memory of abuse is a symptom of dissociative disorders, not necessarily indicative of ineffective coping. C: Being unaware of surroundings is a symptom of dissociative disorders, not a direct indicator of coping strategies. D: Feeling detached or not present is a symptom of dissociative disorders, not a specific behavior related to coping mechanisms.
Question 8 of 9
A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, 'Get away from me; I can't take your barking right now.' The patient's response reflects a defense mechanism because it was which of the following?
Correct Answer: B
Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale: 1. Automatic response: The patient's reaction to the dog was immediate and instinctive. 2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut. 3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress. 4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut. In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (A), nor implemented to avoid coping with the pay cut (C), or rationalize the pay cut (D).
Question 9 of 9
A 7-year-old boy is active in sports and has received a most-improved player award at his baseball tournament. According to Erikson, what describes this client's developmental task assessment?
Correct Answer: C
Rationale: The correct answer is C: Industry. According to Erikson's psychosocial theory, the developmental task for children around the age of 7 involves developing a sense of competence and accomplishment in their activities. The boy's achievement of the most-improved player award in his baseball tournament reflects his engagement in mastering skills and feeling successful in his endeavors, aligning with the concept of industry. Autonomy (A) typically refers to toddlers asserting their independence, while Identity (B) is associated with adolescents' exploration of personal identity. Initiative (D) focuses on preschoolers' curiosity and eagerness to explore the world.