ATI RN
Mental Health Practice B ATI Questions
Question 1 of 9
A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse,"I'm really nervous about having ECT tomorrow." Which would be the best nursing response?
Correct Answer: B
Rationale: The correct answer is B. This response acknowledges the client's feelings, opens up communication, and allows the nurse to address specific concerns. It shows empathy and encourages the client to express their fears, leading to better understanding and support. Choice A is incorrect because offering medication without exploring the client's concerns may not address the root of their anxiety. Choice C is incorrect as it dismisses the client's feelings and suggests that their fears are unfounded. Choice D is incorrect because it focuses on the doctor's expertise, which may not alleviate the client's anxiety about the procedure.
Question 2 of 9
A nurse determines that a patient has poor social skills that have interfered with his ability to engage others, which has contributed to his feelings of purposelessness, hopelessness, and withdrawal. Which of the following would be most important to assist the patient in beginning to social skills?
Correct Answer: C
Rationale: The correct answer is C: Nurse-patient relationship. Building a strong therapeutic alliance is crucial in addressing the patient's poor social skills. A trusting relationship with the nurse can provide a safe space for the patient to explore and improve their social interactions. The nurse can offer guidance, support, and feedback to help the patient develop social skills. Self-help and recovery groups may be beneficial later on, but initially, the focus should be on building a therapeutic relationship. Limit setting is not directly related to improving social skills and may not address the underlying issues contributing to the patient's difficulties.
Question 3 of 9
In nursing practice, Maslow's theory informs nursing and Rogers's theory informs nursing .
Correct Answer: B
Rationale: The correct answer is B: assessment; care planning. Maslow's theory is used in nursing assessment to prioritize patient needs based on the hierarchy of needs. Rogers's theory focuses on establishing a therapeutic relationship, which informs care planning. Evaluation (choice A) is not directly linked to Maslow's or Rogers's theories. Reflection (choice C) and self-awareness (choice D) are more related to personal growth and therapeutic communication rather than specific nursing practices.
Question 4 of 9
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Imbalanced Nutrition: Less Than Body Requirements. In anorexia nervosa, clients typically have a distorted body image and intense fear of gaining weight, leading to restrictive eating behaviors. The behavioral plan for increasing weight directly addresses the issue of inadequate nutrition intake, which aligns with the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. The other options, such as A: Disturbed Body Image, B: Anxiety, and D: Ineffective Coping, may be secondary to the primary issue of malnutrition but are not the focus of the behavioral plan aimed at increasing weight in this case.
Question 5 of 9
A client with bipolar disorder has had a history of multiple episodes and states, I'm so frustrated with what's happened because of these episodes. Which of the following would the nurse encourage to help support this client's recovery?
Correct Answer: B
Rationale: The correct answer is B: Hope. Encouraging hope is essential for supporting a client with bipolar disorder as it fosters a positive outlook and motivation for recovery. Hope can help the client stay resilient during challenging times. Codependence (A) may enable maladaptive behaviors. Self-control (C) may be difficult for someone with bipolar disorder during episodes. Independent decision making (D) may be overwhelming without proper support. In summary, hope is crucial for maintaining optimism and perseverance in the recovery process.
Question 6 of 9
The nurse is giving a presentation comparing and contrasting autism disorder and Asperger syndrome. Which of the following would the nurse include as differentiating Asperger syndrome from autism disorder?
Correct Answer: B
Rationale: The correct answer is B because individuals with Asperger syndrome typically display age-appropriate intelligence, whereas individuals with autism disorder may have varying levels of intellectual functioning. This difference is crucial in distinguishing between the two conditions. A: Children with Asperger syndrome can engage in stereotypic behavior, similar to autism disorder. C: Reversing pronouns is a common feature in both Asperger syndrome and autism disorder, so it does not differentiate the two. D: Both Asperger syndrome and autism disorder can present with social difficulties, including appearing aloof and indifferent to others.
Question 7 of 9
The nurse is working as part of a team to help reduce the stigma attached to mental health treatment for the older adult population. Which of the following would be most appropriate to do to achieve this outcome?
Correct Answer: A
Rationale: Correct Answer: A: Provide education about mental health and mental disorders. Rationale: 1. Education increases awareness and understanding of mental health, reducing stigma. 2. Older adults can learn about common mental disorders and treatment options. 3. Education promotes early recognition of symptoms and encourages seeking help. 4. Screening programs (B) focus on detection, not stigma reduction. Integrated care (C) and social support (D) are important but not directly address stigma.
Question 8 of 9
At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?" During the assessment of
Correct Answer: D
Rationale: The correct answer is D: coping strategies. This question is most relevant during the assessment of coping strategies because it directly pertains to how an individual copes with stress. By asking about the role of faith in stressful situations, the nurse can gain insight into the patient's coping mechanisms and support systems. This information can help tailor interventions to better support the patient's emotional and spiritual needs. A: childhood growth and development - This question is not directly related to childhood growth and development. B: substance use and abuse - This question focuses on a different aspect of the patient's life and does not address coping mechanisms. C: educational background - This question does not probe into the patient's coping strategies but rather focuses on their educational history.
Question 9 of 9
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromanti Which defense mechanism is evident?
Correct Answer: A
Rationale: The correct answer is A: Rationalization. Rationalization is a defense mechanism where individuals justify unacceptable behaviors or feelings by providing logical reasons or excuses. In this scenario, blaming the partner's attractiveness and romantic nature for one's sexual dysfunction is an example of rationalization. The individual is deflecting responsibility by attributing the issue to external factors. Summary of other choices: B: Compensation involves making up for a perceived weakness by emphasizing a strength. This is not evident in the scenario. C: Introjection involves internalizing external beliefs or values. Blaming the partner does not align with this defense mechanism. D: Regression involves reverting to an earlier stage of development in response to stress or conflict. This is not demonstrated in the scenario.