ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that time-out is no longer effective for April. The fact that April's mother puts her in time-out up to 20 times a day suggests overuse, leading to desensitization. This renders time-out ineffective as a therapeutic tool. April's increasing agitation and lack of self-control despite time-outs indicate the need for a different approach.
Choices A and C are incorrect because they assume time-out is still effective, which contradicts the scenario.
Choice D is incorrect as seclusion and restraint should only be considered as a last resort due to ethical and safety concerns.
Question 2 of 5
The impulse control spectrum can begin in childhood and continue on into adulthood, often morphing into criminal behaviors. Working with patients diagnosed with these disorders, the best examples of expressed emotion by the nursing staff are:
Correct Answer: A
Rationale: The correct answer is A: Low to prevent emotional reactions. When working with patients with impulse control disorders, it is crucial for nursing staff to maintain low expressed emotion levels to prevent triggering emotional reactions in the patients. High emotional expression can exacerbate the patients' symptoms and lead to escalated behaviors. Matching the patient's emotions (
B) can also be risky as it may inadvertently validate or reinforce maladaptive behaviors. Being flat (
C) without any emotional output can be perceived as cold and uncaring, hindering the therapeutic relationship. High expression (
D) may overwhelm the patient and hinder therapeutic progress.
Therefore, maintaining low emotional reactions is the most effective approach to support patients with impulse control disorders.
Question 3 of 5
Which factor isn't likely to attract a patient to complementary and alternative medicine?
Correct Answer: A
Rationale: The correct answer is A because the statement that complementary and alternative medicine is always less expensive than conventional medical treatment is not true. Cost is often a significant factor in healthcare decisions, but it is not the only factor that attracts patients to complementary and alternative medicine. Patients may be drawn to these practices due to a desire for more personalized care (
B), a perception of lower risk compared to pharmaceuticals (
C), or dissatisfaction with the effectiveness of traditional medicine (
D). However, cost alone is not a primary factor in choosing complementary and alternative medicine.
Question 4 of 5
What is an example of an adjunctive treatment in mental health care?
Correct Answer: D
Rationale: The correct answer is D: yoga. Adjunctive treatments are used alongside primary treatments to enhance outcomes. Yoga is a complementary therapy that can improve mental health by reducing stress, anxiety, and improving overall well-being. It is non-invasive and can be used in conjunction with other treatments like psychotherapy. Antipsychotic medication (
A) is a primary treatment for certain mental health conditions like schizophrenia. Hospitalization (
B) is a severe intervention for acute mental health crises. Psychotherapy (
C) is a primary treatment involving talk therapy. Yoga (
D) stands out as an adjunctive treatment due to its holistic approach and ability to support mental health alongside other therapies.
Question 5 of 5
What should the nurse do to locate credible sources of research in order to practice evidence-based interventions?
Correct Answer: B
Rationale: The correct answer is B because accessing professional databases like CINAHL ensures access to peer-reviewed research articles and studies. These databases are specifically designed to provide credible and evidence-based information for healthcare professionals. Asking a supervisor (
A) may be helpful but may not guarantee access to reputable sources. Performing a Wikipedia search (
C) is not recommended as it is not a reliable source for evidence-based practice. Asking a librarian (
D) may be useful in guiding the nurse on how to effectively search and utilize professional databases like CINAHL, but the nurse should ultimately rely on accessing these databases directly for credible sources.