ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
Correct Answer: D
Rationale:
Step-by-step rationale for why answer D is correct:
1. Women and men experience anger differently due to societal norms and expectations.
2. Research shows women may express anger less overtly but experience it at similar rates.
3. Recognizing gender differences in anger is crucial for healthcare professionals.
4. Answer D is correct as it highlights the importance of understanding gender disparities in anger expression.
Summary:
A: Incorrect - Anger, aggression, and violence are related but not necessarily points along a continuum.
B: Incorrect - Precision of terms is not the main focus when discussing anger, aggression, and violence.
C: Incorrect - Anger is not always a knee-jerk reaction; it can be complex and multifaceted.
D: Correct - Women experience anger differently from men, making this statement appropriate for nursing education.
Question 2 of 5
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizoaffective disorder. This is because the client is experiencing both psychotic symptoms (hearing voices, feeling followed) and mood symptoms (major depressive episode). Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms.
A: Paranoid schizophrenia is incorrect because the client's symptoms do not solely fit the criteria for paranoid schizophrenia, as there are also depressive symptoms present.
B: Undifferentiated schizophrenia is incorrect as the client's symptoms do not fully align with the criteria for schizophrenia and there is a clear mood component present.
C: Brief psychotic disorder is incorrect as the client's symptoms have been present for more than the specified duration for this disorder.
In summary, the presence of both psychotic and mood symptoms over time points towards the diagnosis of schizoaffective disorder.
Question 3 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 4 of 5
A patient has a history of impulsively acting-out anger by striking others. Select the most appropriate intervention for avoiding similar incidents.
Correct Answer: B
Rationale: The correct answer is B because helping the patient identify incidents that trigger impulsive anger addresses the root cause of the behavior. By understanding triggers, the patient can learn to anticipate and manage their anger more effectively. This intervention promotes self-awareness and empowers the patient to develop coping strategies.
Choice A is incorrect because herbal preparations may not address the underlying causes of the impulsive anger.
Choice C is inappropriate as using restraint and seclusion should be a last resort and not the primary intervention.
Choice D is not as effective as helping the patient identify triggers, as one-on-one supervision does not necessarily address the root cause of the behavior.
Question 5 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.