ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 5
A client on a psychiatric unit tells the nurse,"I'm all alone in the world now, and I have no reason to live." Which response by the nurse would encourage further communication by the client?
Correct Answer: A
Rationale: The correct answer is A because it reflects active listening and empathy, which can encourage further communication. By acknowledging the client's feelings of loneliness and fear, the nurse shows understanding and creates a safe space for the client to share more. Choice B is incorrect because it implies judgment and may shut down communication. Choice C focuses on the nurse's experience rather than the client's, which is not helpful. Choice D offers false reassurance and minimizes the client's feelings, not addressing the underlying issues.
Question 2 of 5
Nursing behaviors associated with the implementation phase of nursing process are concerned with
Correct Answer: D
Rationale: The correct answer is D because the implementation phase involves carrying out interventions and coordinating care based on the nursing care plan developed during the planning phase. This phase focuses on putting the plan into action to achieve the desired patient outcomes. A: Participating in mutual identification of patient outcomes is part of the planning phase, where goals and outcomes are established. B: Gathering accurate and sufficient patient-centered data is part of the assessment phase to gather information about the patient's condition. C: Comparing patient responses and expected outcomes is part of the evaluation phase, where the effectiveness of interventions is assessed. In summary, the implementation phase is about executing the care plan through interventions and coordination, while the other choices are associated with different phases of the nursing process.
Question 3 of 5
A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?
Correct Answer: A
Rationale: The correct answer is A: An interview room furnished with a desk and two chairs. This room provides a private and comfortable setting for the patient to express their feelings and concerns openly. The desk and chairs facilitate a structured conversation between the patient and healthcare provider. Choice B is incorrect because a small, empty storage room is not conducive to providing appropriate care for a patient experiencing disorganized behavior and incoherence. It lacks the necessary environment for effective communication and support. Choice C is incorrect as a room with an examining table and instrument cabinets may make the patient feel uncomfortable or anxious, potentially exacerbating their symptoms. It is more suitable for physical examinations rather than mental health assessments. Choice D is incorrect because placing the patient in the nurse's office may not provide the necessary privacy and professional boundaries required for a therapeutic interaction. It lacks the neutrality and confidentiality needed for the patient to feel safe and supported.
Question 4 of 5
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a disease within a specified time period, such as the past year in this scenario. It specifically focuses on newly diagnosed individuals, which aligns with the nursing student's interpretation. Rationale: 1. Incidence measures new cases over a specific period. 2. It helps in understanding the risk of developing a condition. 3. Prevalence (B) refers to all existing cases at a specific time. 4. Rate (A) is a general term for any measure of occurrence. 5. Point prevalence (C) is the number of cases at a specific point in time. In summary, the other choices are incorrect because they do not specifically capture the concept of new cases within a defined timeframe, which is central to the concept of incidence.
Question 5 of 5
A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, 'Get away from me; I can't take your barking right now.' The patient's response reflects a defense mechanism because it was which of the following?
Correct Answer: B
Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale: 1. Automatic response: The patient's reaction to the dog was immediate and instinctive. 2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut. 3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress. 4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut. In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (A), nor implemented to avoid coping with the pay cut (C), or rationalize the pay cut (D).