Mental Health ATI Proctored Exam 2024 -Nurselytic

Correct Answer: B

Rationale: The correct answer is B. This outcome is specific, measurable, achievable, relevant, and time-bound (SMART). It focuses on discussing behaviors impeding social interaction, promoting self-awareness, and facilitating therapeutic communication.
Choice A is too broad and lacks specificity.
Choice C addresses specific behaviors but lacks a focus on self-awareness or communication.
Choice D addresses anxiety management, which is not directly related to impaired social interaction. In summary, choice B is the most appropriate as it directly addresses the nursing diagnosis and promotes therapeutic communication and self-reflection.

Correct Answer: C

Rationale: The correct answer is C because during the first interview with a patient with a psychiatric disorder, it is crucial for the nurse to address relationship parameters to establish a therapeutic alliance, discuss the contract to clarify roles and expectations, ensure confidentiality to build trust, and explain termination to manage expectations. These aspects lay the foundation for a successful therapeutic relationship.

A: Trust, congruence, attitudes, and boundaries - While trust and boundaries are important, they are part of relationship parameters addressed in choice C. Congruence and attitudes are more about the nurse's behavior than issues to address with the patient initially.
B: Goals, resistance, unconscious motivations, and diversion - These are important aspects, but they are more relevant in later stages of therapy after a strong therapeutic alliance has been established.
D: Transference, countertransference, intimacy, and developing resources - These are advanced concepts that may be addressed later in therapy as trust and rapport are established.

Correct Answer: A

Rationale: The correct answer is A because not allowing a patient to have visitors violates their right to social interaction and support. Patients have the right to visitors unless it poses a risk to their health or safety.
Choice B is not a violation as searching belongings is a standard procedure for safety.
Choice C is not a violation as placing a patient on continuous observation is necessary for their safety.
Choice D is not a violation as using physical restraint is justified to prevent harm to staff or other patients.

Correct Answer: A

Rationale: The correct answer is A: WBC 3,000/mm3. A low white blood cell count (WB
C) can indicate bone marrow suppression from chemotherapy, leading to increased risk of infection. Reporting this value is crucial for timely intervention.

B: Hemoglobin 14 g/dl is within the normal range and not typically a concern in this scenario.

C: Platelet count of 250,000/mm3 is within the normal range and does not pose an immediate threat to the client.

D: aPTT of 30 seconds is within the normal range and is not directly related to the client's current condition of breast cancer and chemotherapy.

Correct Answer: A

Rationale: The correct answer is A because effective nurse-patient communication is guided by principles of empathy, respect, and genuine concern. Patients value feeling understood and supported, which can foster trust and rapport. This approach helps alleviate the nurse's fear of saying the wrong thing by emphasizing the importance of good intentions and empathy.


Choice B is incorrect because it assumes the patient is solely focused on talking and not listening, which can undermine effective communication.
Choice C is incorrect because a patient's history does not guarantee immunity to harm from insensitive comments.
Choice D is incorrect as it incorrectly generalizes about individuals with mental illness and forgiveness tolerance.