ATI RN
Mental Health ATI Book Questions
Question 1 of 9
Which is an example of appropriate psychosexual development?
Correct Answer: A
Rationale: The correct answer is A because according to Freud's psychosexual development theory, the oral stage occurs from birth to 18 months. During this stage, infants derive pleasure from sucking and biting, hence using a pacifier to relieve anxiety is a normal behavior. Choices B, C, and D are incorrect because they describe behaviors that are not developmentally appropriate for the respective age groups according to Freud's theory. Choice B refers to the latency stage (6 to puberty), choice C suggests the phallic stage (3 to 6 years), and choice D indicates the anal stage (18 months to 3 years).
Question 2 of 9
A nurse is providing dietary teaching for a client who has hepatic encephalopathy. Which of the following food selections indicates that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: Rice with black beans. This choice is correct because it is a high-fiber, plant-based meal that is low in protein, which is important for a client with hepatic encephalopathy. Rice and black beans provide complex carbohydrates and fiber, aiding in ammonia detoxification without increasing protein intake. The other choices are incorrect because: A: A sandwich and milkshake are high in protein and may exacerbate hepatic encephalopathy. C: Cottage cheese and tuna lettuce are high in protein, which can lead to increased ammonia production. D: Three-egg omelette with low-sodium ham is high in protein, which is not recommended for clients with hepatic encephalopathy.
Question 3 of 9
The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Ineffective Health Maintenance related to homelessness. This is the priority nursing diagnosis because the client's foot infection needs immediate attention to prevent complications. Ineffective Health Maintenance addresses the client's inability to manage health and seek medical care, which is crucial in this case. A: Social Isolation is not the priority as the client is receiving regular care and interaction in the mobile clinic. C: Chronic Low Self-Esteem may be a concern but is not as urgent as addressing the foot infection. D: Imbalanced Nutrition is not directly related to the client's current issue of a foot infection.
Question 4 of 9
After teaching a group of nursing students about the neurobiologic theories of depression, the instructor determines the need for additional teaching when the students identify which neurotransmitter as playing a role?
Correct Answer: A
Rationale: The correct answer is A: Gamma-amino butyric acid (GABA). GABA is not typically associated with the neurobiologic theories of depression. Norepinephrine, serotonin, and dopamine are neurotransmitters commonly implicated in depression. GABA is known for its role in anxiety disorders, not depression. Therefore, the need for additional teaching is identified when students select GABA as playing a role in depression.
Question 5 of 9
What environmental factor must the nurse must consider in decision-making if the client is due for a diagnostic test and the transport team is waiting?
Correct Answer: D
Rationale: The correct answer is D: time pressure. When the transport team is waiting and the client is due for a diagnostic test, time becomes a critical environmental factor for the nurse to consider. Time pressure can impact the timely completion of the test, potential delays in care, and overall patient safety. Medical records (A) are important but may not directly affect the immediate decision-making in this scenario. Resources (B) and task complexity (C) are also important factors, but time pressure takes precedence as it directly influences the urgency and efficiency of the situation.
Question 6 of 9
The nurse is watching a video that depicts a patient and therapist interacting. The patient is asked to say whatever comes to his mind. The nurse identifies this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Free associations. In this scenario, the patient is asked to say whatever comes to his mind without censoring or filtering their thoughts. This technique is commonly used in psychoanalysis, where the therapist analyzes the patient's free associations to gain insight into their unconscious thoughts and emotions. Dream work (A) involves the interpretation of dreams, not verbal interactions. Gestalt therapy (C) focuses on the present moment and holistic experience, not free associations. Classical conditioning (D) is a form of learning through association between stimuli and responses, not verbal expression.
Question 7 of 9
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
Correct Answer: A
Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is primarily used to standardize the classification of mental disorders for diagnosis and treatment planning in clinical practice. It helps clinicians communicate effectively by providing a common language and set of criteria for diagnosing mental health conditions. Choice B is incorrect because the DSM-IV-TR focuses on classification rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not focus on identifying etiologies based on family histories but rather on symptom criteria and patterns. Choice D is incorrect as the DSM-IV-TR does not provide specific optimal treatment outcomes but rather aids in accurate diagnosis and classification.
Question 8 of 9
Which factor has the greatest influence on the hospice nurse's ability to provide respectful professional care?
Correct Answer: A
Rationale: The correct answer is A: Acceptance that death is a natural part of life. This factor is crucial for hospice nurses as it enables them to approach end-of-life care with compassion and understanding. By accepting death as a natural process, the nurse can provide respectful care without fear or denial. Possessing excellent nursing skills (B) is important but not as impactful as having the right mindset towards death. A healthy personal life (C) can contribute to overall well-being but may not directly impact the nurse's ability to provide respectful care. While the desire to work with both the patient and family (D) is important, it is the acceptance of death that underpins the nurse's ability to provide professional care in the hospice setting.
Question 9 of 9
Allowing the client to take the initiative in introducing the topic is to"broad opening" as the nurse's making self-available and presenting emotional support is to:
Correct Answer: B
Rationale: The correct answer is B, "Offering self." This is because when a nurse makes themselves available and provides emotional support, they are offering their presence and support to the client, showing empathy and readiness to assist. This approach helps build a therapeutic relationship and provides a safe space for the client to express their feelings. Now, let's analyze the other choices: A: "Focusing" involves directing the conversation to a specific topic or issue, which is different from providing emotional support. C: "Restating" is a technique used to clarify and confirm understanding of the client's message, not necessarily providing emotional support. D: "Giving recognition" involves acknowledging the client's efforts or progress, which is not the same as offering emotional support. In summary, "Offering self" is the most appropriate choice as it aligns with the nurse's role in providing emotional support and being present for the client in a therapeutic manner.