ATI RN
ATI Mental Health Practice B
1. Which of the following are therapeutic communication techniques that a healthcare provider can use when interacting with clients? Select one that does not apply.
- A. Using Noise
- B. Offering self
- C. Giving advice
- D. Providing reassurance
Correct answer: C
Rationale: Therapeutic communication techniques aim to promote a therapeutic relationship and client well-being. Using noise is a non-therapeutic technique that can hinder effective communication. Offering self, providing reassurance, and using silence are considered therapeutic. However, giving advice is often seen as non-therapeutic as it can diminish client autonomy and hinder problem-solving skills.
2. Because children younger than 5 years are egocentric, the nurse should do which when communicating with them?
- A. Focus communication on the child.
- B. Use easy analogies when possible.
- C. Explain experiences of others to the child
- D. Assure the child that communication is private
Correct answer: A
Rationale: Focusing communication directly on the child aligns with their egocentric nature and helps engage them in the conversation.
3. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following activities should the toddler participate?
- A. Looking at alphabet flashcards
- B. Playing with a large plastic truck
- C. Using scissors to cut out paper shapes
- D. Watching a cartoon in the dayroom
Correct answer: B
Rationale: The correct answer is playing with a large plastic truck. This activity is suitable for toddlers as it promotes their development, encourages fine motor skills, and provides an opportunity for imaginative play. Looking at alphabet flashcards may be more suitable for older children who are learning letters and words. Using scissors to cut out paper shapes may pose a safety risk for a toddler, as they may not have the dexterity or understanding required for this activity. Watching a cartoon in the dayroom is a passive activity and does not actively engage the toddler in physical or cognitive development.
4. A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following findings should the nurse expect?
- A. Decreased deep tendon reflexes
- B. Positive Chvostek's sign
- C. Hyperactive bowel sounds
- D. Dry mucous membranes
Correct answer: A
Rationale: Corrected deep tendon reflexes occur with hyponatremia. Other manifestations of hyponatremia include headache, confusion, lethargy, fatigue, seizures, and muscle weakness. Positive Chvostek's sign is associated with hypocalcemia, hyperactive bowel sounds are not typically related to hyponatremia, and dry mucous membranes are more commonly seen with dehydration.
5. Which of the following is NOT a culture-bound syndrome?
- A. Hikikomori
- B. Zar
- C. Hoopa
- D. Koro
Correct answer: C
Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.
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