ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
A client has been involuntarily committed to a psychiatric unit. During the delivery of the evening dinner trays, the client elopes from the unit, gets on a bus, and crosses into a neighboring state. Which nursing intervention is appropriate in this situation?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Notify the client's physician: It is crucial to inform the client's physician immediately about the elopement to ensure appropriate medical oversight. 2. Follow facility policy: Following established protocols is essential to manage the situation effectively and maintain the client's safety. 3. Document the incident: Detailed documentation is necessary for legal and clinical purposes to track the event's specifics and subsequent actions taken. 4. Review elopement precautions: By reviewing and potentially updating elopement prevention strategies, the facility can enhance security measures to prevent future incidents. Summary: A: Involuntarily admitting the client to another facility without proper evaluation and consent is not appropriate and may violate the client's rights. C: Sending a therapeutic assistant alone to retrieve the client can be unsafe and may not address the underlying reasons for elopement. D: Involving the police in another state could escalate the situation and may not prioritize the client's mental health needs.
Question 2 of 5
A patient says to the nurse, "I dreamed I was stone When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?
Correct Answer: D
Rationale: The correct response is D because it directly addresses the ambiguity in the patient's statement by seeking clarification on the term "stoned." By asking for an example, the nurse can better understand the specific content of the dream and its emotional impact on the patient. This open-ended question encourages the patient to elaborate and express their feelings, leading to a more meaningful conversation and a deeper understanding of the patient's concerns. Choices A, B, and C are incorrect because they do not directly address the ambiguity in the patient's statement or seek clarification on the term "stoned." Choice A assumes the patient was uncomfortable with the dream content, choice B only relates the nurse's experience without addressing the patient's specific situation, and choice C focuses on the quality of sleep rather than the content of the dream.
Question 3 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 4 of 5
The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, 'It's been so difficult taking care of our son. We need a break. But he needs constant supervision.' Which of the following would be appropriate for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Respite residential care. This option allows the parents to take a break from caregiving while ensuring their son receives necessary supervision. Respite care offers temporary relief for caregivers, preventing burnout. Partial hospitalization (A) involves structured treatment during the day, not suitable for caregiver respite. Acute inpatient care (B) is for crisis situations, not for caregiver relief. Intensive outpatient programs (D) require the patient to attend frequent therapy sessions, not giving the parents a break.
Question 5 of 5
A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?
Correct Answer: C
Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.