ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?
Correct Answer: D
Rationale: The correct answer is D. The child making small fires in the backyard is directly related to the traumatic experience of their family home being destroyed in a wildfire. This behavior reflects a coping mechanism or attempt to make sense of the traumatic event. The child may be trying to process their feelings or gain a sense of control by replicating the event in a controlled environment. This behavior should be addressed promptly to prevent any potential harm or escalation.
Explanation of incorrect choices:
A: Insisting on having their own way when playing with friends is more likely a normal developmental behavior rather than a direct response to trauma.
B: Crying because they are the smallest child in their class is unrelated to the traumatic experience of a wildfire.
C: Being rude to siblings when things do not go their way is also more indicative of typical behavior rather than a response to trauma.
Question 2 of 5
A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
Correct Answer: D
Rationale: The correct answer is D: Upon admission. Discussing restraint and seclusion policy with the client upon admission is crucial for informed consent and empowerment. It allows the client to understand their rights, the circumstances under which restraints may be used, and alternative interventions. This discussion promotes collaboration, reduces fear and anxiety, and fosters a therapeutic relationship.
Choice A: Discussing during agitation may not be ideal as the client may not be in the right state of mind to fully comprehend and engage in a meaningful discussion.
Choice B: Discussing while administering restraints is too late as it does not allow for informed consent and may escalate the situation.
Choice C: Discussing during debriefing after restraint removal is important but may not be the best time as the client may still be distressed and in crisis.
Overall, discussing the policy upon admission ensures proactive communication and promotes client autonomy and safety.
Question 3 of 5
A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Depersonalization. When a client is experiencing panic level anxiety, they may feel detached from themselves or as if they are observing themselves from outside their body, which is known as depersonalization. This symptom is commonly associated with severe anxiety and can be distressing for the individual. Voice tremors (
A) and shakiness (
B) are more commonly seen in individuals experiencing moderate anxiety. Poor concentration (
D) is a symptom that can occur in various levels of anxiety but is not specific to panic level anxiety.
Question 4 of 5
A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?
Correct Answer: D
Rationale: The correct answer is D because having a parent in prison is considered an adverse childhood experience (ACE) due to the potential negative impact on the child's well-being, such as emotional distress, stigma, financial instability, and disrupted family dynamics. This situation can lead to increased stress, trauma, and various social challenges for the child.
Explanation for other choices:
A: A 6-year-old upset about not having a dog is a common childhood disappointment but not necessarily indicative of an ACE.
B: Failing a test is a normal academic challenge and does not qualify as an ACE.
C: Forgetting lunch is a minor inconvenience and not classified as an ACE.
In summary, choice D is the correct answer as it aligns with the criteria of an adverse childhood experience, while the other choices do not meet the criteria for ACEs.
Question 5 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.