ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 9
Which statement made by a nurse requires immediate correction by the supervisor?
Correct Answer: C
Rationale: The correct answer is C because stating that cognitive decline is normal in patients who are 65 and older is incorrect. Cognitive decline is not a normal part of aging and can indicate underlying health issues. It is important for the supervisor to correct this misconception to ensure proper care for older patients. Choices A, B, and D are all accurate statements commonly observed in older patients and do not require immediate correction.
Question 2 of 9
A client on a psychiatric unit who practices Orthodox Judaism declines to eat any of his ham, rice, and vegetable entrée. Which information about Jewish culture would the nurse attribute to this behavior?
Correct Answer: C
Rationale: The correct answer is C: The client is following kosher dietary laws. In Orthodox Judaism, adherents follow strict dietary laws known as kosher laws. These laws prohibit the consumption of certain foods, including pork (ham) and the mixing of meat and dairy products. Rice is allowed under kosher laws, so the client declining the entrée is likely due to the presence of ham, which is not kosher. Explanation of other choices: A: The client being allergic to rice would not explain why he is declining the entire entrée, which includes ham and vegetables. B: Being a vegetarian would not explain why the client is declining the entrée specifically because of the presence of ham, which is not a vegetarian concern. D: The dietary laws of Islam (halal) are different from kosher laws, so this would not apply to the client's behavior in this context.
Question 3 of 9
While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
Correct Answer: C
Rationale: The correct answer is C because it suggests that the client may be seeking attention and validation through illness, which is characteristic of factitious disorder. The client's statement implies a pattern of feeling loved only when they were sick, indicating a potential motivation for feigning illness. Explanation: - A: This choice indicates a lack of nurturing throughout childhood, but it does not specifically point to seeking attention through illness. - B: Feeling loved only when achieving academic success does not directly relate to seeking attention through illness. - D: Feeling loved after a negative event (spanking) does not align with seeking attention through illness.
Question 4 of 9
A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
Correct Answer: D
Rationale: The correct answer is D: Risk for other-directed violence. This is the priority nursing diagnosis because the patient's history of breaking windows, childhood abuse, and torturing pets suggests a potential for violent behavior towards others. The patient's actions indicate a risk of harm to others, making it essential to address this safety concern first. A: Risk for injury is not the priority as the focus should be on the potential harm the patient may cause to others rather than self-injury. B: Ineffective coping may be a contributing factor, but the immediate concern is the risk of violence towards others. C: Impaired social interaction does not address the urgent safety issue of potential violence towards others. In summary, the priority nursing diagnosis is D as it addresses the immediate risk of harm to others based on the patient's history and behavior.
Question 5 of 9
A patient says, "I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?
Correct Answer: B
Rationale: The correct answer is B: Overgeneralization. This cognitive distortion involves making broad conclusions based on limited evidence or a single incident. In this scenario, the patient is overgeneralizing their positive feelings to wearing a size 2 petite, assuming that it always makes them feel good. This conclusion is not logically supported by the limited information provided. A: Disqualifying the positive involves ignoring positive experiences or qualities. This is not the case here as the patient is emphasizing a positive feeling. C: Catastrophizing involves magnifying or exaggerating negative events. This is not evident in the patient's statement. D: Personalization involves attributing external events to oneself. This is not relevant to the patient's statement about clothing size.
Question 6 of 9
After teaching a group of students about the beliefs associated with the major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?
Correct Answer: B
Rationale: The correct answer is B. Confucianism does not advocate for a caste system. Step 1: Confucianism emphasizes ethical behavior and social harmony, not caste distinctions. Step 2: People are born good (A) aligns with Confucian belief in innate goodness. Step 3: Respecting authority figures (C) is a core Confucian value. Step 4: Self-responsibility for self-improvement (D) is also consistent with Confucian teachings.
Question 7 of 9
What common symptom of borderline personality disorder is described as alternating between extremes of idealization and devaluation of one's partner?
Correct Answer: D
Rationale: The correct answer is D: splitting. Splitting is a common symptom of borderline personality disorder where individuals alternate between extremes of idealization and devaluation of others, such as partners. This behavior stems from the inability to integrate both positive and negative feelings towards the same person or object. It leads to black-and-white thinking and unstable relationships. A: Body illusion - This term does not relate to the alternating idealization and devaluation of partners seen in borderline personality disorder. B: Dissociation - Dissociation involves a disconnection from thoughts, feelings, or memories, and does not specifically address the idealization and devaluation pattern in relationships. C: Grandiosity - Grandiosity refers to an inflated sense of self-importance and superiority, which is not directly related to the pattern of idealization and devaluation in relationships seen in splitting.
Question 8 of 9
A nurse is assessing an 8-year-old girl with a mood disorder. Which of the following would the nurse most likely expect to assess?
Correct Answer: B
Rationale: The correct answer is B: Behavioral problems. In children with mood disorders, behavioral problems are commonly observed, such as irritability, aggression, defiance, or hyperactivity. This is because children may have difficulty expressing their emotions verbally, leading to behavioral manifestations. Choices A, C, and D are less likely in a primary mood disorder assessment in a child, as they are more indicative of other conditions like anxiety disorders (C) or obsessive-compulsive disorder (D). While children with mood disorders may feel sad, it is more common for them to exhibit behavioral issues as a primary symptom.
Question 9 of 9
On an inpatient psychiatric unit, a client who is anxious and distressed states,"God has abandoned me." Which nursing action would initiate collaboration with the member of the mental health-care team who can assist this client with this assessed problem?
Correct Answer: D
Rationale: The correct answer is D: Consult with the chaplain and describe the client's concerns. This option recognizes the client's spiritual distress and seeks collaboration with a member of the mental health-care team who is trained to address spiritual and religious concerns. The chaplain can provide emotional and spiritual support, guidance, and counseling to help the client cope with feelings of abandonment. Option A is incorrect because solely relying on medication for spiritual distress may not address the root cause. Option B is incorrect as community resources are not directly addressing the client's spiritual concerns. Option C is incorrect as testing may not be necessary for addressing this specific issue of feeling abandoned by God.