ATI RN
ATI RN Mental Custom Health Next Gen 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: Time-out is no longer an effective therapeutic measure. In this scenario, April's escalating behavior and the ineffectiveness of time-out suggest that it is not addressing the underlying issues causing her behavior. Continuous use of time-out can lead to it losing its effectiveness and may not promote self-reflection. April's behavior worsening despite frequent use of time-out indicates the need for a different approach to address her needs.
Choices A, C, and D are incorrect because they do not address the situation at hand.
Choice A assumes time-out is still effective despite evidence to the contrary.
Choice C assumes April enjoys time-out, which is not supported by the information given.
Choice D suggests a drastic and inappropriate measure of seclusion and restraint, which should only be used as a last resort in emergency situations.
Question 2 of 5
The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The correct answer is D. The CAGE questionnaire is a screening tool used to identify alcohol abuse. Each letter in CAGE stands for a key question: "Cut down," "Annoyed by criticism," "Guilty feelings," and "Eye-opener." These questions help assess the client's alcohol-related behaviors and attitudes. Exploring the client's efforts to cut down on drinking indicates acknowledgment of a potential issue. Annoyance with questions may suggest defensiveness or denial. Feelings of guilt can indicate internal conflict about drinking, and using alcohol as an "Eye-opener" can signal dependence.
Therefore, delving into these specific areas can provide valuable insights into the client's alcohol use patterns and potential problems.
Choices A, B, and C are incorrect as they do not align with the purpose of the CAGE questionnaire in identifying alcohol abuse behaviors and attitudes.
Question 3 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Anosognosia is a symptom of schizophrenia where patients lack awareness of their illness. This leads them to deny their condition and refuse treatment.
Choice A is incorrect as it assumes patients are aware of the medication's effectiveness.
Choice B is incorrect as it introduces a paranoid belief not related to anosognosia.
Choice C is incorrect as it focuses on physical side effects, not denial of illness.
Question 4 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this crucial handover period, communication errors can occur due to the transfer of information between nurses, leading to potential harm to the patient. This is when important patient details, care plans, and vital information are shared, making it a critical time for accurate and effective communication. Nurses must be vigilant to ensure clear and concise communication to prevent errors.
Summary of why the other choices are incorrect:
B: Admission interviews - While important, communication errors during admission interviews may not have as immediate impact on patient safety as during a shift change report.
C: One-to-one conversations with patients - These interactions are also important, but errors in communication may not have the same potential for harm as during a shift change report.
D: Conversations with patient families - While communication with families is vital, errors during these conversations may not always directly lead to harm as in a shift change report.
Question 5 of 5
Which statement demonstrates a well-structured attempt at limit setting?
Correct Answer: A
Rationale: The correct answer is A because it clearly communicates the behavior that is unacceptable (hitting when angry) and sets a clear boundary. It addresses the specific behavior and its consequences without being vague or ambiguous.
Choice B lacks specificity, choice C is a command without explaining the reason for the request, and choice D uses shaming language which is not effective in setting limits.
Choices E, F, and G are irrelevant as they are not provided. Overall, choice A demonstrates a well-structured attempt at limit setting by being clear, specific, and focusing on the behavior that needs to change.