ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 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.
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
A 25-year-old client diagnosed with major depressive disorder remains in his room and avoids others. According to Erikson, what describes this client's developmental task assessment?
Correct Answer: C
Rationale: The correct answer is C: Isolation. Erikson's psychosocial theory states that during young adulthood, the primary developmental task is to establish intimate relationships. A 25-year-old client diagnosed with major depressive disorder avoiding others suggests a failure to establish these intimate relationships, leading to a sense of isolation. Stagnation (
A) refers to the inability to contribute to society in mid-adulthood. Despair (
B) is associated with late adulthood and reflects feelings of regret and disappointment. Role confusion (
D) is a characteristic of adolescence, where individuals struggle to define their identity and role in society.
Question 4 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 5 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.