ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?
Correct Answer: A
Rationale: The correct answer is A because anxiety is transdiagnostic, meaning it can coexist with various medical and psychiatric conditions. This is supported by research showing that anxiety often occurs alongside other disorders like depression or substance abuse. Understanding anxiety as transdiagnostic helps healthcare providers tailor treatment plans to address multiple conditions simultaneously.
Choices B, C, and D are incorrect because they present restrictive or inaccurate views of anxiety. B and C suggest that anxiety is limited to specific risk factors, which is not true. D is incorrect because anxiety frequently co-occurs with other conditions.
Therefore, choice A is the best description of anxiety as transdiagnostic.
Question 4 of 5
A nurse is educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?
Correct Answer: D
Rationale: The correct answer is D. Clients who have had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders are at a higher risk for developing anxiety-related disorders due to genetic predisposition and environmental factors. Adverse childhood experiences can impact brain development and increase vulnerability to anxiety disorders. Additionally, the genetic component from parents with anxiety disorders further increases the likelihood of developing these disorders. This combination of genetic and environmental factors significantly raises the risk of developing anxiety-related disorders.
Incorrect choices:
A: Positive childhood experiences may provide resilience against anxiety disorders, so this client is less likely to develop them.
B: While unemployment and family history of cancer can be stressors, they do not directly correlate with anxiety disorders.
C: Lack of education may impact mental health but is not as significant a risk factor as genetic predisposition and adverse childhood experiences.
Question 5 of 5
A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, 'Could you explain how trauma-related disorders develop?' Which response should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A. Trauma-related disorders develop as a result of experiencing or witnessing a traumatic event. This is rooted in psychological research and clinical observations. Trauma disrupts one's sense of safety, leading to psychological distress and symptoms associated with trauma-related disorders, such as PTSD. Genetics (option
B) play a role in susceptibility, but trauma exposure is the main trigger. Chemical imbalances (option
C) can be present but are not the sole cause. Physical harm (option
D) is not always necessary for trauma-related disorders to develop. Other choices are irrelevant or incorrect.