ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
Group dynamics can vary widely and at times members are capable of disrupting the group process. Which of the following participant traits may indicate a need for additional support for a new nurse facilitator? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because a quietly tearful participant expressing suicidal thoughts indicates a serious mental health concern that requires immediate attention and support. This participant may be in distress and at risk of harm, making it crucial for the new nurse facilitator to provide appropriate resources and assistance.
Choice A is incorrect because paranoid delusions may not necessarily impact the group dynamics unless they lead to disruptive behavior.
Choice C is incorrect as anger alone does not indicate a need for additional support unless it escalates to disruptive behavior.
Choice D is also incorrect as being a calm but ineffective communicator may not necessarily indicate a need for additional support unless it hinders the group process.
Question 2 of 5
A nurse is caring for a client with GERD. Which of the following assessment findings should the nurse expect to find?
Correct Answer: C
Rationale: The correct answer is C: Atypical chest pain. This is because GERD often presents with symptoms such as burning sensation in the chest, which can be mistaken for cardiac chest pain. Shortness of breath (
A) is not typically associated with GERD. Rebound tenderness (
B) is a sign of peritonitis, not GERD. Vomiting blood (
D) is a serious complication of GERD but not an expected assessment finding.
Question 3 of 5
A client visits the emergency department after she was raped in her apartment. The nurse assesses the client's ability to adapt to the trauma by assessing her social support systems and which of the following?
Correct Answer: A
Rationale: The correct answer is A: Ability to effectively activate coping strategies. This is crucial in assessing the client's ability to adapt to trauma. Coping strategies help individuals manage stress and trauma effectively. By assessing the client's coping strategies, the nurse can determine how well the client is able to deal with the psychological impact of the rape.
Choices B, C, and D are incorrect because they do not directly assess the client's ability to adapt to the trauma through coping strategies. Body image disturbance (
B) may be a concern but is not the primary focus immediately after a traumatic event. The type of affect reflected in nonverbal communication (
C) and the degree of fear response (
D) are important but do not directly measure the client's coping abilities.
Therefore, A is the most relevant choice for assessing the client's adaptation to trauma in this context.
Question 4 of 5
Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:
Correct Answer: C
Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns.
Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect.
Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.
Question 5 of 5
Which of the following statements are examples of the therapeutic communication technique of"focusing"? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because it demonstrates focusing by redirecting the conversation back to a specific topic or issue, encouraging the client to elaborate on their thoughts and feelings. By asking the client to recount their experience in Vietnam and their emotions after being wounded, the therapist is helping the client concentrate on a particular aspect of their story.
Choices A, B, and D are incorrect:
A: This statement does not exemplify focusing as it points out a discrepancy between the client's words and body language, which may lead to defensiveness and does not encourage the client to delve deeper into their thoughts or feelings.
B: This statement does not involve focusing but rather reflects a literal interpretation of the client's words without guiding the conversation towards a specific topic or emotion.
D: While this statement acknowledges the client's behavior, it does not guide the conversation towards a specific topic or emotion, thus not demonstrating the focusing technique.