ATI RN
ATI Mental Health Chapters 2 and 3 Questions
Question 1 of 5
While assessing a client with schizophrenia, the client states, 'Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies.' The nurse interprets this statement as indicating which type of delusion?
Correct Answer: C
Rationale: The correct answer is C: Persecutory. This is because the client believes that the government is watching them and plotting against them, indicating a delusion of persecution. Grandiose delusions involve exaggerated beliefs of one's importance or abilities. Nihilistic delusions involve beliefs of non-existence or the end of the world. Somatic delusions involve beliefs about one's body being affected in some way. In this case, the client's belief aligns most closely with persecutory delusions, as they feel targeted and threatened by external forces.
Question 2 of 5
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 3 of 5
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 4 of 5
The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48-year-old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family?
Correct Answer: C
Rationale: The correct answer is C: The nurse must allow the elderly mother to decide if she wants to leave the situation or not. This is important because it respects the elderly mother's autonomy and empowers her to make decisions about her own well-being. By allowing her to decide, the nurse promotes her sense of control and dignity in a situation where she may feel powerless. It also aligns with the principles of patient-centered care and informed consent. Choice A is incorrect because legally removing the son should not be the immediate priority without considering the elderly mother's wishes. Choice B is incorrect as solely focusing on improving self-esteem may not address the safety and protection concerns of the elderly mother. Choice D is incorrect as placement in a nursing home should be a decision made collaboratively with the elderly mother, not imposed without her consent.
Question 5 of 5
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: a client with indications of hypovolemic shock. This is the priority because hypovolemic shock is a life-threatening condition resulting from severe blood loss. In a mass casualty situation, identifying and treating clients with hypovolemic shock promptly is crucial to prevent further deterioration. Clients with massive head trauma (A) and full thickness burns (B) also require urgent care, but hypovolemic shock leads to rapid decline and requires immediate intervention. A client with an open fracture (D) can be stabilized and managed after addressing the more critical condition of hypovolemic shock.