ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, 'I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave.' Which of the following is an appropriate nursing intervention?
Correct Answer: D
Rationale: The correct answer is D: Assist the client to report abusive behavior to the proper authority. This is the most appropriate intervention because it prioritizes the safety and well-being of the client. Reporting abusive behavior to the proper authority can help protect the client from further harm and connect her with resources and support services. It also empowers the client to take action to address the abusive situation.
Choice A is incorrect because involving the client's husband directly may escalate the situation and put the client at further risk.
Choice B is incorrect as it focuses on the client recognizing signs of escalation, rather than taking immediate action to address the abuse.
Choice C is incorrect as it places the responsibility on the client to identify triggers, rather than addressing the abusive behavior directly. Reporting to the proper authority is the most effective and immediate intervention in cases of abuse.
Question 2 of 5
A group of nursing students is reviewing information about suicide and associated concepts. The group demonstrates understanding of the information when they identify which of the following as the probability that a person will successfully complete suicide?
Correct Answer: D
Rationale: The correct answer is D: Lethality. Lethality refers to the probability that a person will successfully complete suicide, considering the potential for fatal consequences. This term specifically addresses the severity of the act in terms of its potential outcome.
A: Parasuicide refers to non-fatal self-injurious behaviors.
B: Suicidal ideation involves thoughts of suicide.
C: Suicidality is a broad term encompassing suicidal thoughts, behaviors, and intentions, but it does not specifically address the probability of successful completion.
In summary, D is correct because it directly addresses the likelihood of a successful suicide attempt, while the other choices do not specifically focus on the potential outcome of the act.
Question 3 of 5
Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse rather than a basic level registered nurse?
Correct Answer: D
Rationale: The correct answer is D: Psychotherapy. Advanced practice psychiatric/mental health nurses have specialized training to provide psychotherapy, which involves conducting therapy sessions to address mental health issues. This intervention requires advanced knowledge and skills in assessing, diagnosing, and treating complex psychiatric conditions. Basic level registered nurses typically do not have the expertise or training to conduct psychotherapy.
A: Coordination of care - Both basic level and advanced practice nurses can coordinate care for patients, although advanced practice nurses may take on a more comprehensive role in care coordination.
B: Health teaching - Both basic level and advanced practice nurses can provide health teaching to patients about mental health conditions and treatment options. Advanced practice nurses may have a deeper understanding of mental health concepts.
C: Milieu therapy - Both basic level and advanced practice nurses can participate in creating a therapeutic environment for patients. Advanced practice nurses may have a more significant role in developing and implementing milieu therapy strategies.
Question 4 of 5
The DSM-V classifies:
Correct Answer: D
Rationale: The correct answer is D because the DSM-V classifies mental disorders that individuals have. The DSM-V is a diagnostic manual used by mental health professionals to categorize and classify mental disorders based on specific criteria. It focuses on identifying patterns of symptoms and behavior that indicate the presence of a mental disorder.
Choices A, B, and C are incorrect because the DSM-V does not solely focus on deviant behaviors, present disability or distress, or people with mental disorders in general, but specifically on identifying and classifying mental disorders that individuals may have based on established criteria.
Question 5 of 5
Which scenario describes an individual in Erikson's developmental stage of"old age" exhibiting a negative outcome of despair?
Correct Answer: D
Rationale: The correct answer is D because it reflects the negative outcome of despair in Erikson's stage of "old age." In this stage, individuals reflect on their lives and may feel satisfied or dissatisfied. Option D shows the woman feeling anger and dissatisfaction, indicating despair.
Choice A involves a woman struggling with caregiving, which could be a challenge but doesn't necessarily reflect despair.
Choice B describes someone reflecting on their life, which is a positive aspect of this stage.
Choice C shows a man openly discussing his accomplishments and failures, which is a healthy way of coping and doesn't indicate despair.