ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues. Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment. Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults. Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment. Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.
Question 2 of 5
The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
Correct Answer: C
Rationale: The correct answer is C because instituting strict restrictions on the patient's activity is not appropriate when a patient is at imminent risk for suicide. This can increase feelings of hopelessness and powerlessness, potentially exacerbating the risk. Listening intently and nonjudgmentally (A), validating feelings (B), and using cognitive interventions to foster hope (D) are all appropriate strategies that can help support the patient and address the underlying issues contributing to their suicidal ideation. It is important to focus on therapeutic interventions that promote safety and provide support rather than imposing strict restrictions.
Question 3 of 5
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
Correct Answer: C
Rationale: Step-by-step rationale for choice C being correct: 1. Imaginary friends are common in children, especially those who have experienced trauma. 2. They serve as a coping mechanism for children to process their emotions and experiences. 3. The nurse's teaching aims to help the foster family understand this coping mechanism. 4. The foster mother's statement reflects understanding that imaginary friends are a way for Maggie to cope with her trauma. Summary of why other choices are incorrect: A. Calling imaginary friends abnormal is incorrect as they are a normal part of child development. B. Describing imaginary friends as maladaptive behavior is incorrect as they can be a healthy coping mechanism. D. Telling the child that imaginary friends are unacceptable can be harmful and dismissive of the child's emotions.
Question 4 of 5
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
Correct Answer: D
Rationale: The correct answer is D: Fulfilling relationships. This patient's pattern of idealizing and devaluing significant others suggests symptoms of borderline personality disorder, which is characterized by unstable relationships and emotional dysregulation. Interventions aimed at developing fulfilling relationships can help the patient establish more stable and healthy connections, leading to improved emotional well-being. Options A, B, and C do not directly address the core issue of unstable relationships and emotional emptiness experienced by the patient. Thus, D is the most appropriate choice to address the patient's specific needs.
Question 5 of 5
In managing the milieu for clients experiencing disorientation and fear, what would the nurse consider a priority?
Correct Answer: D
Rationale: The correct answer is D: client safety. In managing disoriented and fearful clients, ensuring client safety is a priority. This includes preventing harm, falls, and injury. Safety measures help to create a secure environment for the client. Educating the client and family (A) is important but ensuring immediate safety takes precedence. Recreational activities (B) and social skills (C) are secondary to addressing the immediate safety needs of the client.