ATI RN
Mental Health Practice B ATI Questions
Question 1 of 5
Which statement by a patient would lead the nurse to suspect unsuccessful completion of the psychosocial developmental task of infancy?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Infancy's developmental task is trust vs. mistrust, forming trust in others. 2. Patient not allowing others to know them suggests inability to form trusting relationships. 3. Choice B aligns with the mistrust aspect of infancy development. 4. Choices A, C, D do not directly relate to the trust vs. mistrust developmental task.
Question 2 of 5
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromanti Which defense mechanism is evident?
Correct Answer: A
Rationale: The correct answer is A: Rationalization. Rationalization is a defense mechanism where individuals justify unacceptable behaviors or feelings by providing logical reasons or excuses. In this scenario, blaming the partner's attractiveness and romantic nature for one's sexual dysfunction is an example of rationalization. The individual is deflecting responsibility by attributing the issue to external factors. Summary of other choices: B: Compensation involves making up for a perceived weakness by emphasizing a strength. This is not evident in the scenario. C: Introjection involves internalizing external beliefs or values. Blaming the partner does not align with this defense mechanism. D: Regression involves reverting to an earlier stage of development in response to stress or conflict. This is not demonstrated in the scenario.
Question 3 of 5
When reviewing several studies about Hispanic Americans and their use of mental health care facilities, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. Cultural competence is essential in mental health care. 2. Hispanic Americans may avoid mental health facilities that do not accommodate their cultural needs. 3. Lack of cultural accommodation may lead to mistrust and reluctance to seek help. 4. Choosing resources that align with their cultural values is more likely. Summary: A, B, and C are incorrect because they do not address the cultural aspect of seeking mental health care among Hispanic Americans. Answer choice D is correct because it highlights the importance of cultural sensitivity in mental health services for this population.
Question 4 of 5
During an interview, a patient tells the nurse that he was recently let go from his job. As the interaction continues, the patient states, 'I was really overqualified for that position anyway. It was definitely below my area of expertise.' The nurse interprets this information as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intellectualization. Intellectualization is a defense mechanism where a person deals with emotional conflicts or stressors by focusing on the intellectual aspects of a situation rather than the emotional aspects. In this case, the patient is discussing their job loss in a detached, analytical manner by emphasizing their overqualification and expertise, which deflects from the emotional impact of losing the job. A: Denial involves refusing to acknowledge or accept a reality. The patient is not denying the job loss but rather rationalizing it. C: Projection involves attributing one's own thoughts, feelings, or motives to others. The patient is not projecting their own feelings onto someone else. D: Passive aggression involves expressing negative feelings indirectly. The patient's statement does not reflect indirect hostility, but rather a coping mechanism through intellectualization.
Question 5 of 5
A nurse is leading a group on an adolescent psychiatric unit. A new member in the group is from out of state; his accent and his way of dressing set him apart from the other patients; and it is obvious that the group, for the most part, dislikes this patient. During the group session, the nurse has the members draw the emotion they are feeling and then has them present their drawings and explain them to the group. Which of the following would be the most effective way to address the group's dislike for the new member?
Correct Answer: C
Rationale: The correct answer is C: Compliment the patient when he presents his drawing. By complimenting the patient when he presents his drawing, the nurse can help shift the group's negative attitude towards the new member. This approach promotes positivity and encourages the group to see the new member in a different light. It also fosters a more supportive and inclusive environment within the group. Skipping him when it is his turn to present his drawing (choice A) would only further isolate the new member and perpetuate the negative feelings towards him. Letting the patient talk last so the others will not have time to make fun of him (choice B) does not address the underlying issue of dislike and may not effectively change the group dynamics. Demanding that each member of the group tell the patient why they dislike him (choice D) can be confrontational and may escalate the situation, leading to more negativity and hostility.