ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?
Correct Answer: A
Rationale: The correct answer is A: Boundaries. In the structural family system model by Minuchin, boundaries refer to the rules and limits that define the relationships between family members. By focusing on boundaries, the nurse can assess how family members interact and communicate with each other, which is crucial in understanding the family dynamics and identifying potential issues. Emotional cutoff (B) refers to avoiding emotional connections, sibling position (C) relates to birth order and its impact, and family projection process (D) is about parents projecting their own issues onto their children. These concepts are important but not the primary focus of the structural family system model assessment.
Question 2 of 5
What is one of the characteristics shared by most personality disorders?
Correct Answer: D
Rationale: The correct answer is D: dysfunctional relationships. Most personality disorders involve difficulties in forming and maintaining healthy relationships, which is a common characteristic across various types of personality disorders. This is due to underlying issues with emotional regulation, impulsivity, and distorted perceptions of self and others. In contrast, fear of attention (A) is not a defining feature of personality disorders, short onset of duration (B) is not typically seen as these disorders are long-standing, and a history of violence (C) is not universal to all personality disorders.
Question 3 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: D
Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.
Question 4 of 5
After delivery, a devoutly religious client is diagnosed with postpartum depression. The client states,"No one can help me. I was an evil teenager and I must pay." Knowing the effects of cultural influences, how would the nurse interpret this statement?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. The client's statement reflects a belief that their past actions are causing their current suffering. 2. This belief is consistent with the cultural influence of certain religions where illness is seen as punishment for sins. 3. The client's reference to being an "evil teenager" aligns with the idea of personal responsibility for suffering. 4. This interpretation is supported by understanding how religious beliefs can impact perceptions of illness and help-seeking behaviors. Summary: - Choice A is incorrect because the client is not exhibiting delusions of persecution, but rather expressing a belief in personal responsibility. - Choice B is incorrect as the client's statement indicates a deeper issue related to religious beliefs, not simply wanting to be left alone. - Choice C is incorrect as it generalizes all devoutly religious individuals, which is not necessarily true for all individuals within a religious group.
Question 5 of 5
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit