ATI RN
RN Mental Health Schizophrenia ATI Questions
Question 1 of 5
While talking with a client with an eating disorder, the client states, 'I've gained 2 pounds, so soon I'll be over 100 pounds.' The nurse interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Dichotomous thinking. This is because the client is exhibiting a black-and-white type of thinking by assuming that gaining 2 pounds will immediately push them over 100 pounds, without considering the possibility of any in-between weights. Dichotomous thinking involves viewing situations in extreme, polarized terms, such as all-or-nothing, good-or-bad. In this case, the client's statement reflects a rigid and unrealistic perspective on weight gain. A: Magnification - This choice involves blowing things out of proportion or exaggerating the importance of certain events or attributes, which is not the case in the client's statement. B: Selective abstraction - This choice refers to focusing on a single detail while ignoring the broader context, which is not evident in the client's statement. C: Overgeneralization - This choice involves drawing broad conclusions based on limited evidence, which is not the case as the client's statement is specific to their weight gain.
Question 2 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 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
Which patient statement supports the diagnosis of anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A because a fear of gaining weight is a common symptom of anorexia nervosa. People with anorexia nervosa often have an intense fear of gaining weight or becoming fat, leading to restrictive eating habits. This statement aligns with the diagnostic criteria for anorexia nervosa outlined in the DSM-5. Choice B is incorrect because it does not directly relate to the typical symptoms of anorexia nervosa. While social isolation and lack of support can be factors in eating disorders, this statement does not specifically support the diagnosis of anorexia nervosa. Choice C is incorrect because alcohol abuse is not a primary symptom of anorexia nervosa. While co-occurring substance abuse disorders can sometimes occur with eating disorders, this statement does not directly support the diagnosis of anorexia nervosa. Choice D is incorrect because a lack of pleasure in life is a symptom commonly associated with depression, not specifically anorexia nervosa. While depression can co-
Question 5 of 5
An adult dies in a tragic accident. Afterward, the siblings plan a funeral service. Which statement by a sibling best indicates a sense of self-actualization?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates a sense of self-actualization by focusing on finding meaning and positivity in a difficult situation. The sibling acknowledges the unfairness of the death but aims to create a service that celebrates life, showing acceptance, growth, and a higher level of personal fulfillment. Choice A: This statement focuses on the sibling's experience rather than reflecting on the significance of the funeral service. Choice B: While this statement emphasizes conducting the funeral respectfully, it lacks the personal growth and positive outlook that characterize self-actualization. Choice D: This statement is judgmental and places blame on the deceased sibling, showing a lack of understanding and empathy, which is not indicative of self-actualization.