ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
Which statement made by the psychiatric nurse demonstrates an accurate understanding of the factors that affect an individual's personality?
Correct Answer: B
Rationale: The correct answer is B because understanding an individual's cultural beliefs is crucial in comprehending the factors that shape their personality. Culture influences values, behaviors, and perceptions, impacting personality development. By learning about the patient's cultural background, the nurse can better tailor care and interventions. Choices A, C, and D are incorrect: A: This statement oversimplifies the complexity of personality issues and does not address the multifactorial nature of personality development. C: This statement is misleading as personality disorders can be challenging to treat and may not always respond well to interventions. D: This statement is inaccurate as it suggests that personality is solely determined by social situations, overlooking the role of biological and environmental factors in shaping personality.
Question 2 of 5
Why should the nurse determine the level of anxiety displayed by the older adult client?
Correct Answer: B
Rationale: The correct answer is B. Determining the level of anxiety in an older adult client is crucial for using an effective nursing intervention. By assessing anxiety levels, the nurse can tailor interventions such as relaxation techniques or therapeutic communication to address the client's needs. This personalized approach promotes better outcomes. Choice A is incorrect because determining anxiety levels should not solely be for administering medication without considering non-pharmacological interventions. Choice C is incorrect as anxiety assessment is not directly related to offering a specific diet. Choice D is incorrect because reporting to the prescriber is important but should not be the primary reason for assessing anxiety levels.
Question 3 of 5
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 4 of 5
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.
Question 5 of 5
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.