ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
Which of the following statements accurately describes dissociative fugue?
Correct Answer: B
Rationale: Dissociative fugue is a subtype of dissociative amnesia and is characterized by sudden, unexpected travel or bewildered wandering during which the person is unable to recall some or all of their past. This dissociative disorder is typically triggered by extreme psychological stress or trauma. Unlike the other choices, dissociative fugue is intrinsically linked to memory loss and a specific behavior pattern of travel or wandering coupled with amnesia, making choice B the accurate description of dissociative fugue.
Question 2 of 5
A school nurse is assessing a female high school student who is overly concerned about her appearance. The clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing response?
Correct Answer: D
Rationale: The most appropriate nursing response is option D: "Stress can be psychological. A threat to self-esteem may result in high stress levels." This response acknowledges the client's feelings and addresses the psychological aspect of stress in relation to self-esteem. It shows empathy towards the student and validates her concerns, rather than dismissing them or minimizing them. Understanding that stress can be caused by various factors, including issues related to self-esteem, allows the nurse to provide appropriate support and interventions to help the student cope effectively.
Question 3 of 5
A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford childcare? What is the nurses initial action in assisting the client with the problem-solving process?
Correct Answer: D
Rationale: The nurse's initial action in assisting the client with the problem-solving process should be to assess the facts of the situation. By gathering information about the client's current situation, including her employment status, financial resources, and support system, the nurse can gain a better understanding of the specific challenges the client is facing. This assessment will help the nurse identify the key issues that need to be addressed and guide them in developing a plan to help the client find a solution to her childcare dilemma. Once the facts are assessed, the nurse can then proceed to formulate goals, determine risks and benefits, and evaluate outcomes of different alternatives as part of the problem-solving process.
Question 4 of 5
Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool?
Correct Answer: D
Rationale: The principle that most limits the effectiveness of the Recent Life Changes Questionnaire (RLCQ) is that personal perception of the event is excluded. The RLCQ assigns numerical values to different life events based on the scale developed by Holmes and Rahe. However, this tool does not take into account how individuals subjectively perceive or experience those events. Personal perception plays a significant role in how individuals react to stressors and can influence their susceptibility to illness. By not considering personal perception, the RLCQ may not accurately capture the impact of life changes on an individual's health.
Question 5 of 5
A patient presents in the Emergency Department immediately following a shooting incident in a school where she has been teaching. There is no evidence of physical injury, but she appears very hyperactive and talkative. Which of these symptoms manifested by the patient are common initial biological responses to stress? Select all that apply.
Correct Answer: D
Rationale: When an individual experiences a stressful situation such as a shooting incident, the body initiates a stress response also known as the 'fight or flight' response. This response is mediated by the sympathetic nervous system and leads to physiological changes aimed at preparing the body to either confront the threat or flee from it. Increased heart rate and increased respirations are common initial biological responses to stress as they help to deliver more oxygen to muscles and vital organs, enhancing physical performance in response to the perceived threat. These physiological changes are adaptive in the short term, helping the individual deal with the immediate stressor.