ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent with an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
Correct Answer: D
Rationale: A supportive teacher provides a positive childhood experience, fostering emotional security. Teen pregnancy, military parents, or frequent moves can increase stress, not serve as protective factors.
Question 2 of 5
A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, 'How does this therapy work?' Which of the following responses accurately describes this type of therapy?
Correct Answer: C
Rationale: Prolonged exposure therapy gradually confronts trauma-related memories and situations to reduce fear and PTSD symptoms. Other options describe general therapy goals, not specific to this approach.
Question 3 of 5
A nurse is caring for a client who has been diagnosed with acute stress disorder. Which of the following client statements aligns with this diagnosis?
Correct Answer: A
Rationale: Acute stress disorder occurs within a month of trauma, with symptoms like nightmares, as in the recent car crash. Chronic flashbacks suggest PTSD, long-term phobia isn’t ASD, and childhood conflict lacks a specific trauma.
Question 4 of 5
A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?
Correct Answer: B
Rationale: Distracting the clients by engaging them in an activity is a non-confrontational way to de-escalate the argument and redirect their focus, maintaining a peaceful environment. Time-outs may escalate feelings of unfairness, seclusion is too extreme for a minor argument, and physical restraints are inappropriate unless there’s immediate danger.
Question 5 of 5
A nurse is caring for a client who states, 'My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.' Which response by the nurse demonstrates understanding of the client’s trauma?
Correct Answer: D
Rationale: Acknowledging historical trauma validates the client’s belief in its generational impact. General sympathy, personalizing the trauma, or vague responses don’t address the specific context of historical trauma.