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ATI RN · ATI Mental Health · Behavioral Health Nursing

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Your patient Vicky just received a diagnosis of terminal cancer. You plan to speak to her about her response to the diagnosis.. When you reach her room, you find Vicky on the phone. As youre standing in the doorway, she starts laughing. You are startled when she states, Why are you looking so sad? Obviously the tests were wrong. I am not that sick. The patient is displaying:

A. Transference.

B. Regression.

C. Denial.

D. Isolation.

Expert Explanatory Rationale

Correct Answer: Denial.

Question 2 of 5

A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?

A. Living with a peer group often increases anxiety.

B. Peers may alienate the client from daily living activities.

C. The client will likely feel needed by his peers.

D. Peer groups often do too much for each other causing dependency.

Expert Explanatory Rationale

Correct Answer: The client will likely feel needed by his peers.

Question 3 of 5

A nurse is caring for a patient diagnosed with schizophrenia who is exhibiting negative symptoms such as lack of motivation and limited speech. Which of the following interventions is most appropriate?

A. Encourage the patient to engage in social activities and speak openly.

B. Provide the patient with structure and clear instructions to promote participation.

C. Offer the patient frequent reassurance and support.

D. Tell the patient to try harder to communicate and engage with others.

Expert Explanatory Rationale

Correct Answer: Provide the patient with structure and clear instructions to promote participation.

Question 4 of 5

A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?

A. I don't know why I do mean things.'

B. I have always had poor impulse control.'

C. That person should not have provoked me.'

D. I'm really a coward who is afraid of being hurt.'

Expert Explanatory Rationale

Correct Answer: That person should not have provoked me.'

Question 5 of 5

A nurse is working with a patient diagnosed with schizophrenia. The patient reports hearing voices and states, 'The voices tell me to hurt myself.' What is the priority nursing intervention?

A. Ensure the patient is in a safe environment and assess for suicidal thoughts and behaviors.

B. Encourage the patient to engage in reality-based activities and avoid listening to the voices.

C. Provide reassurance that the voices are not real and that the patient is safe.

D. Ask the patient about the content of the voices and validate their experiences.

Expert Explanatory Rationale

Correct Answer: Ensure the patient is in a safe environment and assess for suicidal thoughts and behaviors.

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