ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 9
Which patient statement supports the diagnosis of anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A because a fear of gaining weight is a common symptom of anorexia nervosa. People with anorexia nervosa often have an intense fear of gaining weight or becoming fat, leading to restrictive eating habits. This statement aligns with the diagnostic criteria for anorexia nervosa outlined in the DSM-5. Choice B is incorrect because it does not directly relate to the typical symptoms of anorexia nervosa. While social isolation and lack of support can be factors in eating disorders, this statement does not specifically support the diagnosis of anorexia nervosa. Choice C is incorrect because alcohol abuse is not a primary symptom of anorexia nervosa. While co-occurring substance abuse disorders can sometimes occur with eating disorders, this statement does not directly support the diagnosis of anorexia nervosa. Choice D is incorrect because a lack of pleasure in life is a symptom commonly associated with depression, not specifically anorexia nervosa. While depression can co-
Question 2 of 9
A patient was admitted to the hospital after a suicide attempt made after his daughter was killed in an automobile accident during which he had been driving and survived with only minor injuries. Even though the accident was unavoidable, he feels responsible. During the assessment interview, the patient begins to describe the last conversation he had with his daughter before he lost control of the automobile. As he speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He makes a visible attempt to 'straighten up' and smiles superficially at the nurse, stating, 'I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay overnight. I'll be as good as new by tomorrow.' Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's minimization of his suicidal attempt and encourages him to acknowledge the severity of the situation. By stating that he will not be ready to go home by tomorrow, the nurse challenges the patient's attempt to downplay his emotions and the seriousness of his actions. This response shows empathy and concern for the patient's well-being, guiding him towards accepting the help and support he truly needs. Choices A, B, and C are incorrect because: A: While asking about the daughter and their relationship is important for building rapport, it does not address the immediate concern of the patient's suicidal attempt. B: Agreeing with the patient's statement and suggesting a good night's rest minimizes the seriousness of the situation and fails to address the patient's emotional distress. C: Questioning the patient's statement of being as good as new does not directly confront the seriousness of the suicide attempt and may not prompt the patient to reconsider his minimization of the situation.
Question 3 of 9
A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates rationalization by shifting blame onto the provoked person instead of taking responsibility for the abusive behavior. The person justifies their actions by claiming the other person provoked them, which is a common tactic used by abusers to avoid accountability. Choice A lacks justification or reasoning for the behavior. Choice B refers to a lack of impulse control, not rationalization. Choice D shows introspection and self-awareness, which is not characteristic of rationalization. Thus, C is the best example of rationalization in this context.
Question 4 of 9
Which of the following are examples of primary prevention in a community mental health setting? Select all that apply.
Correct Answer: B
Rationale: Correct Answer: B (Teaching physical and psychosocial effects of stress to elementary school students). Rationale: 1. Primary prevention aims to prevent the onset of mental health issues. 2. Teaching stress management to children helps build coping skills early. 3. Educating on stress effects promotes awareness and resilience. 4. Other choices involve secondary or tertiary prevention strategies.
Question 5 of 9
A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
Correct Answer: D
Rationale: The correct answer is D: Inpatient anger management group. An open group allows members to join or leave at any time, and new members can be added throughout the group's duration. In an inpatient setting, such as an anger management group, individuals may come and go due to varying lengths of stay. This flexibility in membership aligns with the characteristics of an open group. Choice A (Outpatient smoking cessation group) is incorrect because outpatient groups typically have a set start and end date, making them more closed in nature. Choice B (Community clinic psychoeducation group) is incorrect as these groups usually have a defined curriculum and limited spots, making them closed groups. Choice C (Ambulatory psychotherapy group) is also incorrect as these groups often have a set number of sessions with the same members attending each session, making them more closed than open.
Question 6 of 9
A school nurse is meeting with a group of elementary school teachers to talk about motor disorders. One of the teachers raises their hand and says, 'I have a student in my class who cannot stop moving her arms unless she sits on her hands. Could this be a movement disorder?' What diagnosis would the nurse suggest as a possibility for this student?
Correct Answer: B
Rationale: The correct answer is B: a stereotypic movement disorder. Stereotypic movement disorder involves repetitive, nonfunctional motor behavior such as hand flapping. In this case, the student's inability to stop moving her arms unless she sits on her hands aligns with the characteristics of stereotypic movement disorder. A tic disorder (choice A) involves sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations. Developmental coordination disorder (choice C) is characterized by difficulties with motor coordination. Normal development for the student's age (choice D) would not explain the specific behavior described by the teacher. Therefore, the most likely diagnosis for the student in this scenario is a stereotypic movement disorder.
Question 7 of 9
An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
Correct Answer: B
Rationale: The correct answer is B because it focuses on the perpetrator recognizing destructive patterns and learning alternate responses, which are essential in addressing and preventing abusive behavior. This outcome promotes long-term change by targeting the root cause of the abuse and promoting healthier behaviors. A: Decreasing family interaction does not address the underlying issues of abuse and may not lead to behavior change in the perpetrator. C: Removing the perpetrator from the family may not address the root cause of the abuse and may not lead to sustainable change. D: While a combination of treatment modalities can be beneficial, the focus should be on addressing the behavioral patterns and mindset of the perpetrator.
Question 8 of 9
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is listening to the radio. The client tells the nurse that the radio commentator is speaking directly to him. The nurse interprets this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Referential thinking. This is because when the client believes that the radio commentator is speaking directly to them, it indicates referential thinking, where the individual perceives unrelated events or objects as having personal significance. This is a common symptom of schizophrenia. A: Autistic thinking refers to self-absorption and detachment from reality, not related to perceiving external stimuli as personal messages. B: Concrete thinking is a literal interpretation of external stimuli, not attributing personal significance to them. D: Illusional thinking involves experiencing false perceptions or beliefs, not necessarily attributing external stimuli as directly related to oneself.
Question 9 of 9
A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
Correct Answer: B
Rationale: The correct answer is B: Withdrawal symptoms. Benzodiazepines are known for causing physical dependence, leading to withdrawal symptoms if stopped abruptly. The nurse must emphasize this risk to the client with panic disorder to prevent potential harm. Dietary restrictions (A) are not typically associated with benzodiazepine use. Agitation (C) can be a side effect but is not a primary risk. Fecal impaction (D) is not directly related to benzodiazepine use. It is crucial for the nurse to educate the client on the importance of gradually tapering off the medication to avoid withdrawal symptoms.