ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?
Correct Answer: C
Rationale: The correct answer is C: Selective mutism. Selective mutism is an anxiety disorder where a child consistently fails to speak in specific social situations, despite speaking in other situations. In this case, the child's inability to speak during class and other social situations aligns with the characteristics of selective mutism. Agoraphobia (
A) is fear of being in situations where escape may be difficult, generalized anxiety disorder (
B) involves excessive worry and anxiety about a variety of events, separation anxiety disorder (
D) is characterized by excessive fear or anxiety about separation from attachment figures.
Question 2 of 5
A nurse is participating in a hospital committee to discuss the rationing of care and resources during a pandemic. Which of the following behaviors should the nurse identify as important in providing ethical and empathetic nursing care?
Correct Answer: C
Rationale: The correct answer is C: Be transparent, collaborative, and consistent. Transparency is crucial in gaining trust and maintaining ethical standards. Collaboration ensures that decisions are made collectively, considering multiple perspectives. Consistency promotes fairness and predictability in care delivery.
Choice A lacks transparency, while
Choice B lacks collaboration.
Choice D lacks transparency and collaboration.
Therefore,
Choice C encompasses all essential elements for ethical and empathetic nursing care during a pandemic committee discussion.
Question 3 of 5
A community health nurse is reviewing a new county ordinance that prohibits the sale of tobacco to anyone under 18 years of age. Which of the following levels of prevention should the nurse recognize this ordinance as?
Correct Answer: B
Rationale: The correct answer is B: Community, Primary. The nurse should recognize the ordinance as a primary prevention measure at the community level. Primary prevention aims to prevent the onset of a disease or health issue before it occurs. In this case, the ordinance is targeting the entire community by prohibiting tobacco sales to minors to prevent them from starting a harmful habit. This intervention addresses the root cause of tobacco use among youth. The other choices are incorrect because secondary prevention focuses on early detection and intervention in individuals who already have the condition, and individual-level interventions do not have the same broad impact as community-level interventions in addressing public health issues.
Question 4 of 5
A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?
Correct Answer: C
Rationale: The correct answer is C because increased communicability means the virus spreads more easily between individuals, leading to a higher transmission rate. This makes it more contagious and increases the likelihood of outbreaks.
Choice A is incorrect because survivability in the environment doesn't necessarily correlate with communicability.
Choice B is incorrect because severity of disease is not directly related to communicability.
Choice D is incorrect as the amount of virus needed to cause disease is not the same as communicability.
Question 5 of 5
A nurse is caring for a patient who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?
Correct Answer: D
Rationale: The correct answer is D: Adaptive vs maladaptive. This concept is essential in understanding the patient's response to stressors. By assessing whether the patient's coping mechanisms are adaptive (healthy, effective) or maladaptive (unhealthy, ineffective), the nurse can tailor interventions to promote positive outcomes.
A: Right vs wrong is too simplistic and does not capture the complexity of stress responses.
B: Justified vs unjustified focuses on moral judgment rather than coping strategies.
C: Good vs bad is subjective and does not provide a framework for assessing coping mechanisms effectively.
In summary, choosing the concept of adaptive vs maladaptive allows the nurse to approach the patient's situation in a holistic and evidence-based manner, leading to more effective nursing care.