ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?
Correct Answer: A
Rationale: The correct answer is A because it promotes cognitive-behavioral techniques to manage anger effectively. By helping the patient identify triggering thoughts, evaluate their validity, and replace them with reality-based thinking, nurses can assist in changing the patient's response to anger. This intervention encourages self-awareness and empowers the patient to develop healthier coping mechanisms.
Choice B is incorrect as it promotes punitive measures, which can escalate aggression and undermine trust between the patient and healthcare provider.
Choice C is incorrect as aversive conditioning methods like popping a rubber band on the wrist are not evidence-based and can be harmful.
Choice D is incorrect as medication should not be the first-line intervention for managing anger without violence.
Question 2 of 5
What intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
Correct Answer: A
Rationale: The correct answer is A: referring the client for hypnosis. Hypnosis is an evidence-based nonpharmacologic intervention for chronic pain that can help manage pain perception and improve coping mechanisms. It is safe and effective for long-term pain management. Referring for hypnosis aligns with the holistic approach to chronic pain management.
Choice B: administering pain medication as prescribed is a pharmacologic intervention, not nonpharmacologic.
Choice C: removing all glaring lights and excessive noise can help create a comfortable environment but may not directly address chronic pain relief.
Choice D: using over-the-counter transcutaneous electric nerve stimulation is a nonpharmacologic intervention, but it may not be as effective for chronic pain as hypnosis.
Question 3 of 5
Select the example of tertiary prevention.
Correct Answer: A
Rationale: The correct answer is A because tertiary prevention focuses on managing existing conditions to prevent further complications. Helping a person with mental illness learn to manage money falls under this category by providing support and skills to improve their quality of life.
Choice B involves physical restraint, which is not a form of prevention.
Choice C is an example of primary prevention as it aims to educate and prevent the initial occurrence of substance abuse.
Choice D is an example of secondary prevention as it involves identifying genetic risks and providing counseling to prevent the development of diseases or conditions.
Question 4 of 5
An 85-year-old client has become agitated and physically aggressive after having a stroke with right-sided weakness. The client is started on risperidone PO 0.5 mg qhs. Which is a priority nursing diagnosis for this client?
Correct Answer: A
Rationale: The correct answer is A: Risk for falls R/T right-sided weakness and sedation from risperidone. This is the priority nursing diagnosis because the client's physical aggression and right-sided weakness increase the risk of falls, which can lead to further injury. The sedative effect of risperidone can further impair the client's balance and coordination, exacerbating the risk. Addressing this risk is crucial to ensure the safety and well-being of the client.
Summary of other choices:
B: Activity intolerance R/T right-sided weakness - While this is a relevant concern, it is not the priority as the risk of falls takes precedence.
C: Disturbed thought processes R/T acting-out behaviors - While the client's behavior may be a concern, addressing the immediate risk of falls is more critical.
D: Anxiety R/T change in health status and dependence on others - While anxiety may be present, addressing the risk of falls is more urgent in this situation.
Question 5 of 5
Student nurse DeShawna just began clinical on a behavioral health unit. What is an example of a statement DeShawna may make that demonstrates her need for assistance?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Completing a mental status exam is crucial in assessing behavioral health clients.
2. Failing to do so may result in missing important information about the client's mental state.
3. DeShawna's statement indicates a lack of understanding of the importance of a mental status exam.
4. This demonstrates her need for assistance in recognizing the significance of thorough assessments.
Summary of Incorrect
Choices:
A: Completing all parts of the nursing assessment is positive but does not specifically address the need for a mental status exam.
C: Gathering medication names is important but does not address the need for a mental status exam.
D: Assessing for suicidal ideation is crucial, but it does not address the need for a mental status exam, which is also essential in behavioral health assessments.