ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
The nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on the nurse's understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Schizoaffective disorder is associated with an increased risk of suicide. Addressing suicide prevention is the top priority to ensure the client's safety. Suicide risk assessment and intervention are crucial in managing this disorder. Aggression (
B), substance abuse (
C), and eating disorder (
D) may also be present but addressing suicide takes precedence due to the high risk associated with this disorder.
Question 2 of 5
Mrs. Rodriguez, a sixty-year-old female, is struggling with an addiction to alcohol. What community services could support Mrs. Rodriguez?
Correct Answer: C
Rationale: The correct answer is C, a community program for substance use, as it offers specialized support for individuals struggling with alcohol addiction. These programs provide counseling, therapy, and resources tailored to address addiction issues. State hospitalization (
A) is not appropriate for Mrs. Rodriguez unless she is in immediate danger. Family support groups (
B) may not address Mrs. Rodriguez's specific needs. Narcotics Anonymous (
D) is geared towards drug addiction, not alcohol addiction. In summary, choice C is the best option for Mrs. Rodriguez as it offers comprehensive support and resources specifically for alcohol addiction.
Question 3 of 5
A female consumer with severe and recurrent mania argues with outpatient staff about her medication. She does not believe she has a mental illness. Although she takes medication during hospitalizations, she stops taking them after discharge. Which intervention is most helpful in promoting medication adherence?
Correct Answer: D
Rationale: The correct answer is D because it focuses on exploring the patient's perceptions and experiences regarding medication and linking medication adherence to her personal goals. By understanding the patient's beliefs and motivations, the healthcare provider can tailor interventions to address her specific concerns and increase her willingness to take medication. This approach respects the patient's autonomy and empowers her to make informed decisions about her treatment.
Choice A is incorrect because changing staff members may not address the underlying issues contributing to medication non-adherence.
Choice B is not as effective as it focuses solely on explaining the benefits and side effects of medication without considering the patient's individual beliefs and concerns.
Choice C, while providing education, does not address the patient's personal experiences and motivations, which are crucial in promoting medication adherence.
Question 4 of 5
The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when he states which of the following?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. "I should start by stating my feelings as an 'I' statement" is correct because using 'I' statements helps the client express their feelings without blaming others.
2. By starting with their own feelings, the client takes ownership of their emotions and promotes effective communication.
3. This approach also helps in avoiding conflict and promotes empathy and understanding between the client and the other person.
Summary:
- Option B is incorrect because starting with describing the situation may lead to blaming or accusing the other person.
- Option C is incorrect because starting with what the client wants to change may come across as demanding or aggressive.
- Option D is incorrect because starting with what triggered the emotion may focus on external factors rather than the client's feelings.
Question 5 of 5
The nurse is counseling a family with a child who has been abused by an adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse to stress?
Correct Answer: A
Rationale:
Step 1: A supportive relationship with an adult is crucial for the child to rebuild trust and feel safe after experiencing abuse.
Step 2: Long-term psychotherapy may be beneficial, but establishing a supportive relationship is the primary focus.
Step 3: Antidepressant medications may be used if necessary, but the primary need is emotional support.
Step 4: Short-term separation from parents can further traumatize the child; maintaining a supportive family environment is key.
Summary:
Choice A is correct because it addresses the immediate emotional needs of the child post-abuse, while the other choices focus on secondary or potentially harmful interventions.