ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
Jimmy has been hospitalized three times for schizophrenia. Typically, he is very disorganized, spends his money irresponsibly, and loses his housing when he does not pay the rent. In turn, Jimmy cannot be located by his case manager, which leads to treatment nonadherence and relapse. Which response would be most therapeutic? Select all that apply.
Correct Answer: C
Rationale:
Rationale: Option C is the most therapeutic response because long-acting injectable antipsychotic medication can help address Jimmy's treatment nonadherence, as he may forget or choose not to take oral medications. This option also involves collaboration with his prescribing clinician, ensuring a comprehensive approach to his care.
Summary:
A: This response focuses on punishment rather than therapeutic intervention, which may worsen Jimmy's symptoms.
B: While having a guardian could help manage his finances, it does not directly address his treatment nonadherence and relapse issues.
D: Allowing periods of homelessness as a natural consequence is not a therapeutic approach and may exacerbate Jimmy's situation.
Question 2 of 5
Which is a nursing intervention that would promote the development of trust in the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A. This is because providing clear reasons for policies and procedures helps establish transparency and fosters trust in the nurse-client relationship. By explaining the rationale behind actions taken, the nurse shows respect for the client's autonomy and promotes understanding.
Choice B focuses on interpersonal communication but may not directly contribute to trust-building.
Choice C involves empathy but does not necessarily directly address trust.
Choice D involves collaboration but may not specifically address trust-building through transparent communication.
Question 3 of 5
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Efforts are focused on helping the client become 'fit' to stand trial. This is because when someone is found unfit to stand trial, the goal of hospitalization in a forensic mental health facility is to provide treatment and interventions aimed at restoring the individual's competency to participate in the legal proceedings. This is in line with the legal and ethical principles of ensuring that individuals have the capacity to understand the charges against them and assist in their defense. Options A, C, and D are incorrect because they do not address the primary purpose of hospitalization for individuals found unfit to stand trial, which is to restore their competency for legal proceedings.
Question 4 of 5
Which of the following clients retain the right to give informed consent? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment.
Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent.
Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent.
Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.
Question 5 of 5
A person with mental illness does not want to seek care because of the shame they feel for being sick. What type of stigma is this related to?
Correct Answer: A
Rationale: The correct answer is A: self-stigma. Self-stigma occurs when individuals internalize negative beliefs and attitudes about themselves due to their mental illness. In this scenario, the person feels shame for being sick, indicating self-stigma. Caregiver stigma (
B) refers to stigma experienced by those caring for individuals with mental illness. Institutional stigma (
C) pertains to stigma within organizations or systems. Public stigma (
D) involves societal attitudes and discrimination towards individuals with mental illness. In this case, the individual's shame is self-directed, making self-stigma the most appropriate choice.