ATI RN
2023 ATI Mental Health Proctored Exam Questions
Question 1 of 5
A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
Correct Answer: D
Rationale: The correct answer is D, "We can pray together if you'd like." This is the most appropriate spiritual nursing intervention because it acknowledges and respects the patient's faith, offers emotional support, and fosters a connection between the nurse and the patient. It shows empathy and understanding of the patient's spiritual needs during a challenging time.
Explanation for why the other choices are incorrect:
A: Taking the patient to visit the nurse's church may not align with the patient's faith and may not be comfortable for the patient.
B: Requiring the patient to belong to the same church as the nurse to go to heaven is imposing the nurse's beliefs on the patient, which is inappropriate.
C: Offering guided imagery may be helpful for relaxation, but it does not directly address the patient's spiritual needs or provide the emotional support that praying together can offer.
Question 2 of 5
A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Stay with the client while remaining calm.
Rationale:
1. Presence and calmness provide reassurance and support during a panic attack.
2. Staying with the client helps prevent further distress or harm.
3. The nurse can assess the client's condition and provide immediate assistance if needed.
4. It establishes trust and a therapeutic relationship.
Summary:
B: Moving the client to a safe environment is important, but staying with the client is the priority for immediate support.
C: Telling the client the attack will soon pass may not be effective during the acute phase of panic.
D: Teaching deep breathing techniques can be helpful, but it is not the first step in managing a client experiencing a panic attack.
Question 3 of 5
An adult says, 'I never know the answers,' and 'My opinion does not count.' Which psychosocial crisis was unsuccessfully resolved for this adult?
Correct Answer: C
Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage.
A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements.
B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues.
D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.
Question 4 of 5
Which action of a mental health nurse case manager reflects the activity of service planning?
Correct Answer: D
Rationale: The correct answer is D because holding a care conference for a client who is having difficulty returning to school reflects service planning. This involves coordinating and organizing resources, collaborating with stakeholders, and developing a comprehensive plan to address the client's specific needs. Option A focuses on problem identification and seeking resources, not on planning services. Option B involves immediate follow-up but does not necessarily involve comprehensive planning. Option C focuses on a specific appointment with a nutritionist and does not encompass overall service planning for the client's needs.
Question 5 of 5
The nurse is reviewing a client's medical record and finds that he has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care?
Correct Answer: A
Rationale: The correct answer is A: Category I. In the Quadrant Model of Integrated Healthcare, Category I refers to the treatment of co-occurring disorders in the primary care setting. This means that the client is receiving integrated care for both physical and mental health conditions in one location, promoting holistic and comprehensive treatment.
Choices B, C, and D do not align with the specific scenario described and represent different levels or types of care in the Quadrant Model.