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
A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis?
Correct Answer: B
Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.
Question 3 of 5
The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
Correct Answer: B
Rationale: The correct answer is B because using substances like alcohol and marijuana is a common maladaptive coping mechanism in individuals with dissociative disorders to escape or numb painful emotions. This behavior indicates ineffective coping as the patient is not addressing their underlying issues. A: Having no memory of abuse is a symptom of dissociative disorders, not necessarily indicative of ineffective coping. C: Being unaware of surroundings is a symptom of dissociative disorders, not a direct indicator of coping strategies. D: Feeling detached or not present is a symptom of dissociative disorders, not a specific behavior related to coping mechanisms.
Question 4 of 5
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
Correct Answer: C
Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process. Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.
Question 5 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.