ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
Walking down the aisle of a local grocery store, a nurse encounters a client the nurse has recently cared for on an inpatient psychiatric setting. Which is the appropriate reaction by the nurse?
Correct Answer: D
Rationale: The correct answer is D because making eye contact and responding if the client engages maintains professionalism and acknowledges the client's presence without compromising confidentiality. It shows respect and empathy, which are important in nursing practice.
A: Inquiring about the client's well-being can breach confidentiality and may not be appropriate in a public setting.
B: Ignoring the client can be seen as rude and may harm the therapeutic relationship.
C: Talking to the client without using names may still breach confidentiality and does not fully acknowledge the client's presence.
Question 2 of 5
The nurse makes a home visit to a family caring for a client with Alzheimer's disease. The client's wife tells the nurse that she hasn't been out of the house for more than 2 weeks because her sister has been unable to help her care for the client. Which nursing diagnosis would the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Caregiver Role Strain related to social isolation. The priority nursing diagnosis addresses the wife's current state of distress due to social isolation, which can impact her ability to provide care for the client. This diagnosis directly addresses her feelings of being overwhelmed and unable to fulfill her caregiving role effectively. In contrast, option A focuses on family coping, which is secondary to the wife's immediate need for support. Option B is not as relevant since it does not address the wife's emotional and psychological stress. Option D refers to the client's emotional state rather than the wife's, making it less of a priority in this scenario.
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
Which technique will best communicate to a patient that the nurse is interested in listening?
Correct Answer: A
Rationale: The correct answer is A: Restating a feeling or thought the patient has expressed. This technique, known as reflective listening, shows active listening and empathy towards the patient. By restating the patient's feelings or thoughts, the nurse demonstrates understanding and encourages further communication. This approach validates the patient's emotions and promotes a therapeutic relationship.
Choice B (Asking a direct question) may come off as interrogative and can feel less empathetic.
Choice C (Making a judgment) can be perceived as dismissive or critical, hindering open communication.
Choice D (Saying "I understand what you're saying") may seem insincere unless followed by specific examples of understanding.
Question 5 of 5
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing the effect of caffeine on sleep with the client, which of the following would the nurse incorporate into the discussion as a caffeine effect?
Correct Answer: C
Rationale: The correct answer is C: Decreased REM sleep. Caffeine is a stimulant that can interfere with the sleep cycle by reducing the amount of REM (rapid eye movement) sleep, which is crucial for restorative functions. Here's the rationale:
1. Caffeine blocks adenosine receptors, which can disrupt the natural sleep stages, including REM sleep.
2. REM sleep is important for memory consolidation and cognitive function, so a decrease in REM sleep can lead to cognitive impairments.
3.
Choices A and B are incorrect because caffeine typically increases sleep latency and decreases total sleep time.
4.
Choice D is incorrect because caffeine is known to reduce slow-wave sleep, which is the deep, restorative stage of sleep.