ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?
Correct Answer: A
Rationale: The correct answer is A: Having a physical disability. Adverse childhood experiences (ACEs) can contribute to anxiety disorders. Children with physical disabilities may face challenges that increase their risk of developing anxiety. This can include social isolation, bullying, or feelings of inadequacy. Other choices like performing well in school, having a strong social support system, or caregivers with steady employment are positive factors that can promote resilience and reduce the risk of anxiety disorders. In summary, having a physical disability can be an ACE that impacts a child's mental health, while the other options are protective factors.
Question 2 of 5
A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The statement "The milieu consists of the physical and psychosocial environmental factors" is correct because therapeutic milieu encompasses both physical (such as layout, lighting, and noise level) and psychosocial (such as interactions among clients and staff) factors. This understanding is crucial for creating a therapeutic environment that supports clients' well-being.
Summary of Other
Choices:
B: Incorrect. The positioning of chairs in the gathering spaces is not a key factor in understanding therapeutic milieu.
C: Incorrect. Therapeutic milieu often involves structured programming to promote specific therapeutic goals, rather than unstructured programming.
D: Incorrect. While clients may keep personal items in their rooms, this statement does not encompass the full scope of therapeutic milieu.
Question 3 of 5
A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?
Correct Answer: C
Rationale: The correct answer is C: Have toys or drawing materials available for the child. This strategy allows the child to express themselves non-verbally, aiding in communication and processing of the traumatic event.
Toys and drawing materials provide a safe and familiar outlet for the child to convey their feelings and experiences. This approach can help the child feel more comfortable, leading to a more effective assessment.
Choice A is incorrect because forcing the child to repeat the traumatic events can retraumatize them and be emotionally harmful.
Choice B is incorrect as having the caregiver present can provide comfort and support to the child during the assessment.
Choice D is incorrect as focusing only on the physical domain neglects the emotional and psychological aspects of the trauma.
Question 4 of 5
A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault. The parent mentions that their child has been experimenting with drugs. Why would they be doing this?
Correct Answer: A
Rationale:
Correct
Answer: A. "This must be a difficult time for you."
Rationale: The correct answer shows empathy and acknowledges the parent's feelings. It validates their emotions and shows support during a challenging situation. By expressing empathy, the nurse can build rapport and trust with the parent, which is crucial for effective communication and collaboration in addressing the adolescent's drug experimentation. This response focuses on the parent's emotional well-being and opens the door for further discussion about the adolescent's behavior and the underlying issues.
Summary of Other
Choices:
B: This is normal behavior for an adolescent. Nothing to be concerned about.' - This response dismisses the parent's concerns and fails to address the seriousness of drug experimentation in a teenager with PTSD.
C: I can understand your concerns. Which of these behaviors do you want to address first?' - While showing understanding, this response puts the responsibility on the parent to prioritize behaviors, missing the opportunity to offer support and guidance.
D: It’s very frustrating when children misbe
Question 5 of 5
A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings?
Correct Answer: C
Rationale: The correct answer is C: "Tell me what kind of coping skills you have." This question invites the client to clarify their feelings by prompting them to reflect on their coping mechanisms, which can provide insight into their emotional state. It encourages the client to explore and express their emotions, fostering a therapeutic dialogue.
A: Asking about understanding treatment is more about comprehension than clarifying feelings.
B: Inquiring about resources or information is focused on practical needs, not emotional expression.
D: This statement assumes the client feels supported rather than directly addressing their feelings.
Overall, option C is the most appropriate choice for inviting the client to clarify their feelings during the interview.