ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
A client with a mental disorder is being discharged from the inpatient unit. During the client's stay in the hospital, the client eventually was able to get an adequate night's sleep even though the client had experienced chronic insomnia over the years. The client's spouse asks the nurse what the family can do in the client's home environment to promote healthy sleep. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The most appropriate response by the nurse is C: "Remember to keep stimulating activities at a minimum before he goes to bed." This is the correct answer because engaging in stimulating activities before bedtime can disrupt sleep. It is essential to create a relaxing bedtime routine to promote healthy sleep patterns. Choices A, B, and D are incorrect because they do not address the importance of avoiding stimulating activities before bedtime or promoting a calming environment for sleep. Option A puts the responsibility solely on the client, missing the opportunity for the family to support healthy sleep habits. Option B suggests alcohol consumption before bed, which can negatively impact sleep quality. Option D recommends a spicy snack and tea before bed, which can lead to discomfort and disrupt sleep. Ultimately, choice C is the best option as it focuses on creating a conducive environment for restful sleep.
Question 2 of 5
A student nurse is studying for an exam on the recovery process. What is an example of a statement that demonstrates their understanding to their study group?
Correct Answer: C
Rationale: The correct answer is C: "Recovery is a nonlinear process based on instilling hope." This answer demonstrates a deep understanding of the recovery process as it acknowledges that recovery is not a straightforward path and emphasizes the importance of instilling hope in individuals undergoing recovery. Recovery from mental illness or substance use is a complex and individualized journey that may involve setbacks and progress. Instilling hope is crucial in motivating individuals to continue working towards their recovery goals. Choice A is incorrect because it presents a pessimistic view that the majority of people do not recover, which is not aligned with the recovery-oriented approach. Choice B is incorrect as it implies that the healthcare team solely dictates the recovery process, disregarding the individual's autonomy and empowerment. Choice D is incorrect as it overlooks the collaborative nature of the recovery process and places the responsibility solely on the client.
Question 3 of 5
Which statement by the nurse expresses respect for the client?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the client's confidentiality and privacy, which are essential in maintaining trust and therapeutic relationships. By assuring the client that discussions will remain within the healthcare team, the nurse upholds the client's autonomy and dignity. Option A lacks respect as it involves blaming and restricting the client. Option C shows empathy but implies judgment towards the client. Option D downplays the client's feelings and fails to acknowledge their individuality.
Question 4 of 5
The nurse is counseling a family with a child who has been abused by an adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse to stress?
Correct Answer: A
Rationale: Step 1: A supportive relationship with an adult is crucial for the child to rebuild trust and feel safe after experiencing abuse. Step 2: Long-term psychotherapy may be beneficial, but establishing a supportive relationship is the primary focus. Step 3: Antidepressant medications may be used if necessary, but the primary need is emotional support. Step 4: Short-term separation from parents can further traumatize the child; maintaining a supportive family environment is key. Summary: Choice A is correct because it addresses the immediate emotional needs of the child post-abuse, while the other choices focus on secondary or potentially harmful interventions.
Question 5 of 5
A female consumer with severe and recurrent mania argues with outpatient staff about her medication. She does not believe she has a mental illness. Although she takes medication during hospitalizations, she stops taking them after discharge. Which intervention is most helpful in promoting medication adherence?
Correct Answer: D
Rationale: The correct answer is D because it focuses on exploring the patient's perceptions and experiences regarding medication and linking medication adherence to her personal goals. By understanding the patient's beliefs and motivations, the healthcare provider can tailor interventions to address her specific concerns and increase her willingness to take medication. This approach respects the patient's autonomy and empowers her to make informed decisions about her treatment. Choice A is incorrect because changing staff members may not address the underlying issues contributing to medication non-adherence. Choice B is not as effective as it focuses solely on explaining the benefits and side effects of medication without considering the patient's individual beliefs and concerns. Choice C, while providing education, does not address the patient's personal experiences and motivations, which are crucial in promoting medication adherence.