ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Question 1 of 5
A client in a children's mental health behavioral center says, 'I got five tickets today!' The nurse knows giving tickets to children for good behavior and not giving them for poor behavior is which type of therapy?
Correct Answer: D
Rationale: The correct answer is D: Behavioral therapy. In behavioral therapy, positive reinforcement is used to encourage desired behaviors, such as giving tickets for good behavior. This technique aims to increase the likelihood of the behavior being repeated. In this scenario, the client receiving tickets for good behavior aligns with the principles of behavioral therapy.
A: Individual psychotherapy typically focuses on exploring emotions, thoughts, and behaviors on a deeper level, not specifically on behavior modification like giving tickets for good behavior.
B: Reality therapy emphasizes personal responsibility and making choices, but it does not primarily involve the use of positive reinforcement for behavior modification.
C: Cognitive therapy targets changing negative thought patterns and beliefs, not directly using positive reinforcement for behavior change.
In summary, the other choices are incorrect because they do not specifically focus on using positive reinforcement for behavior modification, which is a key aspect of behavioral therapy.
Question 2 of 5
The interdisciplinary team is planning care for a client with bipolar disorder that had some psychological tests completed. The nurse recognizes which discipline of the team will interpret the results of those tests and participate in the design of therapies for the client?
Correct Answer: D
Rationale: The correct answer is D: Psychologist. Psychologists are trained to interpret psychological tests and assessments, making them well-equipped to analyze the results and contribute to the development of therapeutic plans for clients with mental health disorders like bipolar disorder. Psychiatrists focus more on medication management, psychiatric nurses provide direct patient care, and recreation therapists focus on recreational activities for therapeutic purposes.
Therefore, a psychologist is the most appropriate team member to interpret the test results and contribute to the client's therapy plan.
Question 3 of 5
When preparing for the first clinical experience at a children's residential facility, the nursing instructor meets with the students to discuss their feelings, beliefs, and attitudes surrounding clients with a history of abuse and self-harm. The primary reason for discussing personal beliefs is to:
Correct Answer: B
Rationale: The correct answer is B: guide the students to practice self-awareness so there is no interference with the client's care. Discussing personal beliefs helps students recognize their biases and emotions, promoting self-awareness. This is crucial in maintaining professional boundaries and providing unbiased care.
Choice A is incorrect as the focus should be on the students' self-awareness, not client-student relationships.
Choice C is incorrect as assignments should be based on learning needs, not personal beliefs.
Choice D is incorrect as the appropriateness of the setting can be assessed without delving into personal beliefs.
Question 4 of 5
A nurse is preparing to care for a client with dysfunctions in the lobe of the brain labeled as 'A'. The nurse would expect to observe abnormal assessment findings with the following:
Correct Answer: B
Rationale: The correct answer is B. Dysfunctions in the frontal lobe, labeled as 'A', affect executive functions such as organization of thought, body movement memories, emotions, and moral behavior. This is because the frontal lobe is responsible for higher cognitive functions and personality.
Choices A, C, and D do not align with the functions typically associated with the frontal lobe.
Choice A is more related to the temporal lobe, which is responsible for smell, hearing, memory, and emotional expression.
Choice C is linked to the left hemisphere, particularly Broca's area, responsible for language generation.
Choice D is more related to the parietal lobe, which is responsible for taste, touch, and spatial orientation.
Therefore, B is the correct answer as it best describes the expected abnormal assessment findings related to dysfunctions in the frontal lobe.
Question 5 of 5
A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a chronic syndrome characterized by involuntary movements of the tongue, lips, and face, as described in the client's symptoms. This condition is commonly associated with long-term use of first-generation antipsychotics, like the one the client has been taking for 8 months. Tardive dyskinesia typically develops after prolonged exposure to antipsychotic medications and is often irreversible.
A: Akathisia is characterized by restlessness and the inability to sit still, not the involuntary movements described in the client.
B: Neuroleptic malignant syndrome presents with fever, altered mental status, muscle rigidity, and autonomic dysfunction, not the specific movements seen in the client.
C: Dystonia involves sustained muscle contractions leading to abnormal postures or repetitive movements, but it does not typically involve the specific facial movements described.
Therefore, D is the most appropriate choice given the