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
While caring for a client with anorexia nervosa, the nurse anticipates that the client would have difficulty making which of the following comments?
Correct Answer: A
Rationale: The correct answer is A because it indicates a willingness to gain weight, which contradicts the typical behavior of someone with anorexia nervosa. Individuals with anorexia nervosa often have a fear of gaining weight and resist efforts to do so.
Choice B is incorrect because it reflects the perfectionism often associated with anorexia nervosa.
Choice C is incorrect because it reflects the fear of weight gain commonly seen in individuals with anorexia nervosa.
Choice D is incorrect because it highlights the preoccupation with food and calories that is characteristic of anorexia nervosa.
Question 3 of 5
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?
Correct Answer: D
Rationale: The correct answer is D: "Do you find it difficult to control your worrying?" This question is most appropriate because it directly assesses one of the key symptoms of generalized anxiety disorder, which is excessive and uncontrollable worrying. By asking this question, the nurse can gather crucial information to help confirm the diagnosis.
A: "Have you been a victim of a crime or seen someone badly injured or killed?" - This question is more relevant to assessing symptoms of post-traumatic stress disorder rather than generalized anxiety disorder.
B: "Do you feel especially uncomfortable in social situations involving people?" - This question is more indicative of social anxiety disorder rather than generalized anxiety disorder.
C: "Do you repeatedly do certain things over and over again?" - This question is more aligned with symptoms of obsessive-compulsive disorder rather than generalized anxiety disorder.
Question 4 of 5
Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)?
Correct Answer: B
Rationale: The correct answer is B: Care is centered on the patient. QSEN emphasizes patient-centered care in the treatment of mental illness. This approach involves understanding and addressing the patient's unique needs, preferences, and values to provide individualized and effective care. It focuses on fostering a therapeutic relationship between healthcare providers and patients to enhance treatment outcomes.
Explanation of why other choices are incorrect:
A: All genomes are unique - This statement is not directly related to the specific component of treatment recognized by QSEN.
C: Healthy development is vital to mental health - While healthy development may contribute to mental health, it is not the specific component highlighted by QSEN.
D: Recovery occurs on a continuum from illness to health - While recovery is an important aspect of mental health treatment, it is not the specific component emphasized by QSEN, which is patient-centered care.
Question 5 of 5
An adult says, 'Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.' Which number on this mental health continuum should the nurse select?
Correct Answer: D
Rationale: The correct answer is D (4) on the mental health continuum. The statement indicates a high level of mental well-being, self-esteem, and understanding of the relationship between effort and outcomes, aligning with Level 4. This level signifies positive self-esteem, a sense of purpose, and the ability to cope effectively with life's challenges.
Choices A, B, and C are incorrect because they represent lower levels of mental health with characteristics such as low self-esteem, negative emotions, and difficulty coping with stressors.