ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is crucial in determining the most appropriate setting for the patient's treatment. If the patient has prior experience with either setting, it can help the mental health team understand which environment may be more beneficial for the patient's current needs. If the patient has had positive experiences in a community outpatient setting, they may be more likely to benefit from that environment. On the other hand, if the patient has had previous success in an inpatient setting, that may be a more appropriate option. This question helps the team tailor the treatment plan to the patient's individual needs based on their past experiences.
Choices A, B, and D are incorrect as they do not directly address the patient's past experiences with different treatment settings, which is the most relevant factor in determining the appropriate treatment setting for the patient.
Question 2 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Intermittent supervision is available in inpatient settings. In an inpatient treatment setting, Pablo can receive continuous monitoring and supervision, ensuring his safety and well-being. This is crucial for someone like Pablo who is homeless, has substance use issues, and expressed a wish to die. Inpatient treatment can provide a controlled environment where his physical and mental health can be closely monitored, and immediate interventions can be implemented if needed.
Incorrect choices:
B: While stabilization of multiple symptoms is important, the key factor here is the need for constant supervision, which is better provided in an inpatient setting.
C: Although nutritional and self-care needs are important, the primary concern in this case is Pablo's mental health and safety, which can be better addressed in an inpatient setting.
D: While medication adherence is important, it is not the primary reason for recommending inpatient treatment for Pablo. The need for supervision and monitoring takes precedence.
Question 3 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding of the importance of checking for congruence between verbal and nonverbal communication to validate responses. Nonverbal cues can provide additional context and insight into a patient's true feelings or intentions.
Choice A is too general and does not emphasize the significance of congruence.
Choice C makes an assumption based solely on nonverbal cues, which can be misleading.
Choice D is incorrect as understanding nonverbal communication is equally important as verbal communication.
Question 4 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective listening by paraphrasing and summarizing the patient's statement. This shows active listening and understanding of the patient's perspective.
Choice A is about personal feelings, not reflecting the patient's emotions.
Choice C is a statement of uncertainty, not reflective listening.
Choice D is an observation, not reflection.
Question 5 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this crucial handover period, communication errors can occur due to the transfer of information between nurses, leading to potential harm to the patient. This is when important patient details, care plans, and vital information are shared, making it a critical time for accurate and effective communication. Nurses must be vigilant to ensure clear and concise communication to prevent errors.
Summary of why the other choices are incorrect:
B: Admission interviews - While important, communication errors during admission interviews may not have as immediate impact on patient safety as during a shift change report.
C: One-to-one conversations with patients - These interactions are also important, but errors in communication may not have the same potential for harm as during a shift change report.
D: Conversations with patient families - While communication with families is vital, errors during these conversations may not always directly lead to harm as in a shift change report.