ATI RN
ATI Mental Health Proctored Exam 2023 Test Bank Questions
Question 1 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 2 of 5
Student nurse DeShawna just began clinical on a behavioral health unit. What is an example of a statement DeShawna may make that demonstrates her need for assistance?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Completing a mental status exam is crucial in assessing behavioral health clients. 2. Failing to do so may result in missing important information about the client's mental state. 3. DeShawna's statement indicates a lack of understanding of the importance of a mental status exam. 4. This demonstrates her need for assistance in recognizing the significance of thorough assessments. Summary of Incorrect Choices: A: Completing all parts of the nursing assessment is positive but does not specifically address the need for a mental status exam. C: Gathering medication names is important but does not address the need for a mental status exam. D: Assessing for suicidal ideation is crucial, but it does not address the need for a mental status exam, which is also essential in behavioral health assessments.
Question 3 of 5
A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?
Correct Answer: C
Rationale: The correct answer is C: Family development. The Calgary Family Model focuses on understanding how families develop and change over time. It emphasizes the importance of recognizing different stages of family development, such as forming, norming, storming, and performing. By understanding these stages, nurses can provide more effective care tailored to the family's specific needs. A: Differentiation of self is a concept from Bowen's Family Systems Theory, not the Calgary Family Model. B: Sibling position is a concept from Adlerian Family Therapy, not the Calgary Family Model. D: Subsystems refer to the different components within a family system, but it is not the primary focus of the Calgary Family Model, which is on family development.
Question 4 of 5
The head nurse in the ED has received word that a major fire in a high-rise office tower will result in many injured persons being brought to the hospital within the next few minutes. The head nurse tells the staff, 'You will need to assess for acute stress reactions as well as treating physical problems.' Which patient is exhibiting symptoms characteristic of acute stress reaction?
Correct Answer: B
Rationale: The correct answer is B because the female reporting still hearing her daughter's pleas for help is exhibiting symptoms characteristic of acute stress reaction, a common response to traumatic events like a major fire. This symptom indicates a re-experiencing of the traumatic event, known as intrusion, which is a key feature of acute stress reactions. This can include vivid memories, flashbacks, or hearing sounds related to the traumatic event. Choices A, C, and D do not align with acute stress reactions. A male with mood swings between mania and depression (Choice A) is more likely experiencing bipolar disorder. A male repeating 'I don't understand what's going on?' (Choice C) may indicate confusion or disorientation rather than acute stress reaction. A female rocking her young son and repeating 'it will be okay' (Choice D) may be demonstrating a coping mechanism rather than a symptom of acute stress reaction.
Question 5 of 5
A nursing student observes an incorrect dosage of medication being given to a client receiving electroconvulsive therapy. To implement the ethical principle of veracity, which action would the nursing student take?
Correct Answer: B
Rationale: The correct answer is B. By informing the student's instructor and the client's primary nurse, the nursing student upholds the ethical principle of veracity, which is being truthful and honest. This action ensures that the correct dosage of medication is administered to the client, preventing potential harm. Documenting the situation is essential for accurate record-keeping and accountability. Choice A is incorrect because keeping the information confidential would go against the ethical principle of veracity and could potentially harm the client. Choice C is incorrect as the decision about actions should involve healthcare professionals to ensure the client's safety and well-being, not solely the client. Choice D is incorrect because even if the client was not harmed immediately, incorrect medication dosages could still have long-term consequences, making it crucial to report the incident for proper evaluation and prevention.