ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.†Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and active listening. By acknowledging James's feelings and inviting him to share more about his experience, the response validates his emotions and fosters trust. This approach helps build a therapeutic relationship and allows for a deeper exploration of his hallucinations. Options A and B invalidate James's experience and may increase his distress. Option D offers reassurance but lacks the immediate emotional support James needs.
Question 2 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: As a tutor, the correct answer is D. Asking 'why' questions is not considered a therapeutic communication technique as it can come off as confrontational or judgmental, potentially making the patient feel defensive or pressured to justify their feelings. Therapeutic communication aims to create a safe and supportive environment for patients to express themselves openly without feeling judged. Restating, encouraging description of perceptions, and summarizing are all therapeutic techniques that help patients feel heard and understood, fostering trust and empathy in the patient-provider relationship.
Question 3 of 5
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don’t need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: Rationale for
Choice A: Carolina should respond positively to the patient's enthusiasm about the therapy app to maintain rapport. By asking the patient to show the app, Carolina displays genuine interest and open-mindedness, fostering a collaborative discussion. This approach allows Carolina to understand the patient's perspective and potentially integrate the app into the therapy if suitable. It also shows respect for the patient's autonomy in seeking alternative support.
Summary of other choices:
B: This response is dismissive and does not acknowledge the patient's preferences, potentially damaging the therapeutic relationship.
C: This response may come off as controlling or resistant, risking alienating the patient and hindering progress.
D: This response is confrontational and may make the patient defensive, leading to communication breakdown rather than exploration of alternatives.
Question 4 of 5
Which statement demonstrates a well-structured attempt at limit setting?
Correct Answer: A
Rationale: The correct answer is A because it clearly communicates the behavior that is unacceptable (hitting when angry) and sets a clear boundary. It addresses the specific behavior and its consequences without being vague or ambiguous.
Choice B lacks specificity, choice C is a command without explaining the reason for the request, and choice D uses shaming language which is not effective in setting limits.
Choices E, F, and G are irrelevant as they are not provided. Overall, choice A demonstrates a well-structured attempt at limit setting by being clear, specific, and focusing on the behavior that needs to change.
Question 5 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The most appropriate activity for a child with ADHD is D: Tennis. Tennis involves physical activity, which can help release excess energy and improve focus. It also requires quick thinking, coordination, and concentration, which can benefit children with ADHD. Reading an adventure novel (
A) may be too sedentary, Monopoly (
B) and Checkers (
C) are more sedentary and may not provide enough physical activity or engagement to help manage ADHD symptoms effectively. Tennis provides a balance of physical activity and mental engagement, making it the most suitable choice.