ATI RN
ATI Mental Health Practice A 2023 Questions
Question 1 of 5
Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so much that the client is unable to go to work. Identify the category of the continuum of mental health to mental wellness that applies to Nurse Jon's client.
Correct Answer: C
Rationale: The correct answer is C: mental illness. Severe anxiety that impacts daily functioning is indicative of a mental illness. Mental illnesses are conditions that affect a person's thinking, feeling, behavior, or mood. In this case, the client's inability to work due to increased anxiety indicates a significant impairment in their mental health. This falls within the category of mental illness on the continuum of mental health to mental wellness.
Summary:
A: Emotional problems or concerns typically refer to temporary issues such as stress or relationship difficulties, not as severe as a mental illness.
B: Well-being signifies a positive state of overall health and happiness, which is not the case when a person is unable to function due to severe anxiety.
D: Between well-being and emotional problems does not accurately capture the severity of the client's condition, which is indicative of a mental illness.
Question 2 of 5
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Move the probe site every 3 hours. This is important to prevent skin breakdown and ensure accurate readings. Moving the probe site helps to redistribute pressure and prevent tissue damage. Placing the infant under a radiant warmer (
A) is not necessary for pulse oximetry monitoring. Heating the skin (
C) can cause burns or discomfort. Placing the sensor on the index finger (
D) may not provide accurate readings for an infant. Moving the probe site every 3 hours is the best practice to maintain skin integrity and ensure accurate monitoring.
Question 3 of 5
After teaching a group of nursing students about milieu therapy, the instructor determines that additional teaching is needed when the students identify which of the following as a key concept of milieu therapy?
Correct Answer: D
Rationale: The correct answer is D: De-escalation. Milieu therapy focuses on creating a therapeutic environment to promote healing and growth. De-escalation techniques are not a key concept of milieu therapy.
Rationale:
1. Structure interaction (
A): Correct - Milieu therapy emphasizes structured interactions between individuals to enhance communication and support.
2. Open communication (
B): Correct - Milieu therapy encourages open and honest communication within the therapeutic environment.
3. Validation (
C): Correct - Milieu therapy emphasizes validating individuals' feelings and experiences to promote a supportive environment.
4. De-escalation (
D): Incorrect - De-escalation techniques are more commonly associated with crisis intervention and managing challenging behaviors, not a core concept of milieu therapy.
In summary, de-escalation is not a key concept of milieu therapy, which focuses on promoting a therapeutic environment through structured interactions, open communication, and validation.
Question 4 of 5
Fred is an older adult with spinal stenosis and who is being treated with a short-term prescription of opioids for an acute episode of back pain. His nurse recognizes additional teaching is necessary when Fred states:
Correct Answer: D
Rationale: The correct answer is D because sharing prescription medication, such as Norco, with others is illegal and dangerous.
Step 1: Sharing opioids is illegal and can lead to legal consequences.
Step 2: Sharing opioids can result in harmful drug interactions or overdose due to individual variations in tolerance and health conditions.
Step 3: It is important to emphasize the importance of using prescribed medications only as directed by a healthcare provider for safety and effectiveness.
Choices A, B, and C are incorrect because they are all appropriate self-management strategies for managing back pain in older adults with spinal stenosis.
Question 5 of 5
Assessment of a family reveals that the youngest child has moved out of the family home to live by herself. One of the other two children is married, and the other child has just gotten engaged. The nurse interprets this family to be in which stage of the family life cycle?
Correct Answer: B
Rationale: The correct answer is B: Launching children and moving on. This stage typically occurs when children leave the family home to live independently, get married, or become engaged. In this scenario, the youngest child has already moved out to live by herself, and one of the other children is married while the remaining child has just gotten engaged. These events indicate that the family is transitioning into the stage of launching children and moving on, where parents adjust to an empty nest and focus on their own pursuits.
Choices analysis:
A: Families with adolescents - This stage typically involves children still living at home during their teenage years, which does not align with the information provided in the question.
C: Families in later life - This stage occurs later in the family life cycle when children have grown up and left the family home, usually after retirement. The events in the question do not indicate this stage.
D: Leaving home: single young adults - This stage involves young adults leaving the family home for the first time to