ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is listening to the radio. The client tells the nurse that the radio commentator is speaking directly to him. The nurse interprets this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Referential thinking. This is because when the client believes that the radio commentator is speaking directly to them, it indicates referential thinking, where the individual perceives unrelated events or objects as having personal significance. This is a common symptom of schizophrenia. A: Autistic thinking refers to self-absorption and detachment from reality, not related to perceiving external stimuli as personal messages. B: Concrete thinking is a literal interpretation of external stimuli, not attributing personal significance to them. D: Illusional thinking involves experiencing false perceptions or beliefs, not necessarily attributing external stimuli as directly related to oneself.
Question 2 of 5
A child diagnosed with autism is hospitalized in an inpatient mental health unit. When developing the plan of care for this child, which of the following would the nurse most likely include?
Correct Answer: B
Rationale: Correct Answer: B - Providing a consistent, structured environment with predictable routines Rationale: Children with autism thrive in structured environments with predictable routines. Consistency helps reduce anxiety and promote feelings of safety and security. By providing a structured environment, the child's behavior can be better managed, leading to improved outcomes. Incorrect Choices: A: Ensuring that a variety of caregivers are available for the child - This may disrupt the child's routine and cause further distress. C: Allowing the child frequent visits off the unit to provide stimulation - This can overwhelm a child with autism due to sensory sensitivities. D: Sending the child to the 'time out' area if the child repeats phrases continually - Time-outs are not effective for children with autism and may increase their anxiety and self-stimulatory behaviors.
Question 3 of 5
Select the most appropriate label to complete this nursing diagnosis: related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Correct Answer: C
Rationale: The correct answer is C: Social isolation. In this scenario, the individual is experiencing isolation due to feelings of shyness and lack of social skills, leading them to watch TV alone every evening. This choice directly reflects the situation described and addresses the root cause of the behavior. A: Deficient knowledge does not address the social aspect of the issue. B: Ineffective coping implies the individual is trying to cope with a specific stressor, not necessarily related to social interactions. D: Powerlessness does not capture the essence of the individual's situation, which is more about social withdrawal than a sense of powerlessness.
Question 4 of 5
An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
Correct Answer: B
Rationale: The correct answer is B because it focuses on the perpetrator recognizing destructive patterns and learning alternate responses, which are essential in addressing and preventing abusive behavior. This outcome promotes long-term change by targeting the root cause of the abuse and promoting healthier behaviors. A: Decreasing family interaction does not address the underlying issues of abuse and may not lead to behavior change in the perpetrator. C: Removing the perpetrator from the family may not address the root cause of the abuse and may not lead to sustainable change. D: While a combination of treatment modalities can be beneficial, the focus should be on addressing the behavioral patterns and mindset of the perpetrator.
Question 5 of 5
A psychiatric-mental health nurse is providing care to a patient who has recently emigrated to the United States from Eastern Europe. Which of the following would be least effective in providing culturally competent care?
Correct Answer: C
Rationale: The correct answer is C. Speaking to the patient in his native language may not necessarily be the most effective approach as not all individuals from the same culture speak the same language. It is important to recognize that language and culture are not always directly correlated. Demonstrating genuine interest (A), avoiding assumptions (B), and acquiring information about the patient's country (D) are all crucial aspects of providing culturally competent care as they help in understanding the patient's background, beliefs, and values. However, assuming that speaking the patient's native language automatically promotes cultural competence overlooks the diversity within cultures.