ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
A client diagnosed with a personality disorder has a nursing diagnosis of impaired social interaction. Which is a correctly written, short-term outcome related to this diagnosis?
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.
Question 2 of 5
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
Correct Answer: A
Rationale: The correct answer is A: Risk for Injury. Insomnia and sleep deprivation can lead to cognitive impairment and physical fatigue, increasing the risk of accidents and injuries. The nurse's priority is ensuring the client's safety. Option B, Ineffective Coping, focuses on emotional response rather than immediate safety concerns. Option C, Deficient Knowledge, does not directly address the client's current safety issue. Option D, Anxiety, is important but may not pose an immediate threat to safety compared to the risk of injury from sleep deprivation.
Question 3 of 5
On which client would a nurse on an inpatient psychiatric unit appropriately use four-point restraints?
Correct Answer: A
Rationale: The correct answer is A because four-point restraints are used for clients who pose an imminent danger to themselves or others due to violent behavior, such as being hostile and threatening. Restraints should only be utilized as a last resort to ensure safety.
Choices B, C, and D do not warrant the use of restraints as they do not involve immediate physical harm or danger. De-escalation techniques and alternative interventions should be attempted before resorting to restraint use.
Question 4 of 5
Due to the need to self-medicate for anxiety, a patient diagnosed with schizophrenia smokes two packs of cigarettes a day. What unique risk does nicotine pose to this patient's health?
Correct Answer: C
Rationale: The correct answer is C: Impaired psychotropic medication therapy. Nicotine can interfere with the metabolism of certain psychotropic medications, potentially reducing their effectiveness. Smoking two packs of cigarettes a day can lead to increased levels of enzymes in the liver, which can accelerate the breakdown of medications, making them less potent. Lung cancer (
A) and increased incidence of lung-related disorders (
D) are potential risks of smoking but are not unique to this patient's situation. Cardiovascular constriction (
B) is a general risk of smoking and not directly related to the patient's schizophrenia diagnosis.
Question 5 of 5
The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother complains that the children are constantly fighting and have intense sibling rivalry. Which statement would be most appropriate when advising the parents about how to respond to the sibling rivalry?
Correct Answer: A
Rationale:
Step 1: Acknowledge individuality - By reacting to each child as unique individuals with their own talents and interests, parents can promote a sense of identity and reduce competition.
Step 2: Encouraging positive interactions - Fostering cooperation rather than simply demanding it can help improve sibling relationships.
Step 3: Address underlying issues - By focusing on individual needs and interests, parents can address root causes of rivalry rather than just surface behaviors.
Step 4: Promoting healthy relationships - Encouraging children to appreciate each other's strengths and differences can lead to a more harmonious sibling dynamic.
Summary:
Choice A is correct as it addresses the core issues of sibling rivalry by promoting individuality and positive interactions.
Choices B, C, and D are incorrect as they do not address the underlying causes of rivalry, promote unhealthy dynamics, or offer effective solutions.