ATI RN
Mental Health Final ATI Questions
Question 1 of 5
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or attitudes onto the patient, based on personal issues or past relationships. In this scenario, the nurse is reacting to the patient as if he was her grandfather, indicating a personal connection influencing her behavior. Incorrect choices: A: Empathy is the ability to understand and share the feelings of another. While empathy is important in nursing, it does not involve projecting personal experiences onto the patient. B: Transference refers to the patient projecting feelings onto the nurse based on past experiences. It is the opposite of countertransference. D: Modeling involves observing and imitating the behavior of others, which is not the case in this scenario.
Question 2 of 5
A nurse is developing a presentation for a local community group of young and middle-aged adults about common psychosocial problems. Which of the following would be least appropriate for the nurse to integrate into the presentation?
Correct Answer: D
Rationale: The correct answer is D because it is the least appropriate statement to integrate into the presentation. The presentation is about common psychosocial problems in young and middle-aged adults, and the statement about superior technologic advances primarily applying in the United States is not directly relevant to the topic. Step 1: Identify the topic of the presentation - common psychosocial problems in young and middle-aged adults. Step 2: Evaluate each choice based on relevance to the topic. Step 3: D is least appropriate as it focuses on technological advances rather than psychosocial problems. Step 4: A, B, and C are more relevant as they discuss age range, cultural aspects, and global norms related to the target audience. In summary, D is the least appropriate choice as it deviates from the main focus of the presentation on psychosocial problems in young and middle-aged adults. Choices A, B, and C are more relevant to the topic at hand.
Question 3 of 5
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
Correct Answer: A
Rationale: The correct answer is A: Problem stimulating usual problem solving. In crisis intervention, the first phase is when the individual encounters a problem that triggers their usual problem-solving skills. This initial phase involves recognizing the crisis and attempting to assess and address the problem. This sets the stage for further crisis intervention strategies. Choices B, C, and D are incorrect: B: Trial and error attempts to alleviate problem - This typically occurs after the crisis has been recognized and initial problem-solving attempts have been made. C: Automatic relief behaviors take over - This is more likely to be a coping mechanism employed after the crisis has escalated and the individual is seeking immediate relief. D: Serious personality disorganization - This usually occurs in the later stages of a crisis when the individual's ability to cope is severely compromised.
Question 4 of 5
The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Assessing for suicide risk is crucial before prescribing a tricyclic antidepressant due to the potential increase in suicidal ideation in the initial phase of treatment. Suicide risk assessment helps in determining the level of monitoring and support needed for the client. Choices B, C, and D are incorrect as hypersomnia, cardiac arrhythmia, and erectile dysfunction are not directly related to the initiation of tricyclic antidepressants and do not pose an immediate risk to the client's safety compared to suicidal ideation.
Question 5 of 5
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which of the following about the drug?
Correct Answer: C
Rationale: The correct answer is C: Reduces the appeal of alcohol. Naltrexone is an opioid antagonist that works by blocking the euphoric effects of alcohol, reducing cravings, and decreasing the desire to drink. By choosing this answer, the client demonstrates an understanding of naltrexone's mechanism of action in treating alcohol dependence. A: Causes itching if alcohol is consumed - This statement is incorrect. Naltrexone does not cause itching if alcohol is consumed. It works by blocking opioid receptors, not by producing physical side effects like itching. B: Produces the euphoria of alcohol - This statement is incorrect. Naltrexone actually blocks the euphoric effects of alcohol, making it less appealing and reducing the desire to drink. D: Improves appetite and nutritional status - This statement is incorrect. Naltrexone does not directly affect appetite or nutritional status. Its primary purpose is to help with alcohol dependence by reducing cravings and the pleasure associated with drinking.