ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizoaffective disorder. This is because the client is experiencing both psychotic symptoms (hearing voices, feeling followed) and mood symptoms (major depressive episode). Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. A: Paranoid schizophrenia is incorrect because the client's symptoms do not solely fit the criteria for paranoid schizophrenia, as there are also depressive symptoms present. B: Undifferentiated schizophrenia is incorrect as the client's symptoms do not fully align with the criteria for schizophrenia and there is a clear mood component present. C: Brief psychotic disorder is incorrect as the client's symptoms have been present for more than the specified duration for this disorder. In summary, the presence of both psychotic and mood symptoms over time points towards the diagnosis of schizoaffective disorder.
Question 2 of 5
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Efforts are focused on helping the client become 'fit' to stand trial. This is because when someone is found unfit to stand trial, the goal of hospitalization in a forensic mental health facility is to provide treatment and interventions aimed at restoring the individual's competency to participate in the legal proceedings. This is in line with the legal and ethical principles of ensuring that individuals have the capacity to understand the charges against them and assist in their defense. Options A, C, and D are incorrect because they do not address the primary purpose of hospitalization for individuals found unfit to stand trial, which is to restore their competency for legal proceedings.
Question 3 of 5
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Correct Answer: D - Establish a regular time for going to bed and getting up in the morning. Rationale: Setting a consistent bedtime and wake-up time helps regulate the body's internal clock, promoting better sleep quality. This routine helps synchronize the body's natural sleep-wake cycle, making it easier to fall asleep and wake up feeling refreshed. Consistency reinforces the body's circadian rhythm, enhancing overall sleep hygiene. Summary: A: Eating right before bed can disrupt sleep by causing indigestion and discomfort. B: Exercising right before bedtime can stimulate the body and mind, making it harder to fall asleep. C: Drinking tea before bed may contain caffeine or disrupt the need to wake up for bathroom trips, affecting sleep quality.
Question 4 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B because summarizing the essence of the patient's comments in your own words shows active listening, understanding, and empathy. This helps the patient feel heard and validated. Choice A may impose the tutor's opinion on the patient, undermining therapeutic communication. Choice C disrupts the patient's thought process and may inhibit them from opening up further. Choice D focuses on the tutor's approval rather than the patient's feelings, which can be counterproductive in a therapeutic setting.
Question 5 of 5
A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
Correct Answer: C
Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.