ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
The nurse is in the orientation phase of the nurse-patient relationship with a patient diagnosed with a mental disorder. When interviewing the patient during this first encounter, which information would be most important for the nurse to obtain about the patient?
Correct Answer: C
Rationale:
Step 1: In the orientation phase, the main focus is establishing trust and rapport with the patient.
Step 2: Understanding the patient's perception of the problem is crucial in building a therapeutic relationship.
Step 3: By knowing their perception, the nurse can tailor interventions to address the patient's specific needs.
Step 4: This information helps in formulating an individualized care plan and promoting patient engagement.
Summary: Option C is correct as it aligns with the therapeutic communication goal in the orientation phase. Options A, B, and D are important but not as crucial in the initial phase of the nurse-patient relationship.
Question 2 of 5
Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't participate because I don't speak the language very well." Patient will
Correct Answer: D
Rationale: The correct answer is D: select and participate in one group activity per day. This outcome directly addresses the nursing diagnosis of impaired social interaction and sociocultural dissonance by promoting engagement in social activities. By actively participating in a group activity, the patient can practice social skills and interact with others, thus improving social interaction.
Choices A and B focus on individual skills rather than social interaction.
Choice C relates to decision-making rather than social interaction.
Therefore, choice D is the most appropriate outcome to address the patient's nursing diagnosis.
Question 3 of 5
Which nurse-client communication-centered skill implies"respect"?
Correct Answer: A
Rationale:
Step-by-step rationale for why choice A is correct:
1.
Choice A emphasizes the nurse's regard for the client as a person of worth, emphasizing respect.
2. It highlights valuing and accepting the client without any conditions or reservations.
3. Demonstrates the core aspect of respect in communication, acknowledging the client's intrinsic value.
4. Reflects a fundamental principle of client-centered care, fostering a positive and supportive relationship.
Summary of why other choices are incorrect:
B. While understanding the client's perspective is important, it focuses more on empathy than respect.
C. Self-congruence and authenticity are important but do not directly address respect for the client.
D. Using specific terminology is valuable for clarity but does not directly relate to demonstrating respect for the client as a person of worth.
Question 4 of 5
The nurse is beginning an assessment interview with an 8-year-old girl who has been brought in for counseling by her parents. When beginning the interview, which question would be most appropriate for the nurse to ask first?
Correct Answer: C
Rationale: The correct answer is C: Has anyone told you about why you are here today? This question is the most appropriate as it helps establish the child's understanding of the situation and allows the nurse to assess the child's level of awareness and perception. By asking this question first, the nurse can ensure the child is informed and prepared for the counseling session.
Choice A (How are you feeling?) is not the best first question as it jumps straight into emotions without setting the context.
Choice B (How old are you?) is irrelevant and does not address the purpose of the counseling session.
Choice D (Why do you think I'm talking to you alone without your parents here?) may make the child feel defensive or anxious, and it assumes the child has already formed opinions about the situation.
Question 5 of 5
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
Correct Answer: A
Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (
B), clinic settings (
C), and home care settings (
D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.