Mental Health ATI Proctored Exam 2024 -Nurselytic

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.

Correct Answer: A

Rationale: The correct answer is A because providing easily accessible finger foods throughout the day increases input, ensuring the patient with dementia receives adequate nutrition. This approach helps maintain their energy levels and prevents malnutrition.
Choice B is incorrect because anorexia is not necessarily the reason for providing finger foods.
Choice C is incorrect as finger foods may not necessarily assist in monitoring food intake.
Choice D is incorrect as the primary rationale for providing finger foods is to increase input, not specifically to prevent constipation.

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.

Correct Answer: D

Rationale: The correct answer is D: transitional challenges. Young adults often face significant changes in various aspects of their lives such as transitioning from school to work or moving out of their parents' home. This can lead to stress, anxiety, and depression. Developmental delays (
A) typically refer to delays in reaching developmental milestones during childhood. An increase in comorbidities (
B) may not necessarily be the main mental health challenge faced by young adults. Polypharmacy (
C) is the use of multiple medications, which is more related to physical health challenges rather than mental health challenges in young adults. In summary, transitional challenges are the main mental health challenge for young adults due to the significant life changes they experience during this period.

Correct Answer: B

Rationale: The correct answer is B: perform a client strengths assessment. This is essential to keep the plan client-centered by focusing on the individual's positive attributes and resources. By identifying the client's strengths, the nurse can tailor interventions that build on these assets to empower the client in managing the risk factors for substance misuse.

A: Contacting a rehab center for an intake assessment is premature without fully assessing the client's strengths and individualized needs first.
C: Asking the psychiatrist to screen for depression is important but does not directly address keeping the plan client-centered and focusing on strengths.
D: Completing a health assessment is necessary but does not specifically address the client's strengths and may not fully support client-centered care.