ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 of 5
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates respect for the patient's autonomy and builds trust in the nurse-patient relationship. By contacting resources to provide medications without charge, the nurse addresses the patient's financial constraint while honoring their wishes to avoid the hospital. This intervention promotes continuity of care and supports the patient's well-being. Option B is incorrect because it does not address the patient's immediate need for medications and may not align with the patient's preferences. Option C is inappropriate as hospitalization should be a last resort and may not be necessary in this case. Option D is not the best initial intervention as it does not directly address the patient's concerns about being perceived as a traitor.
Question 2 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Insight-oriented therapy. This type of therapy focuses on exploring the underlying causes of behavior, emotions, and thoughts, which may not be effective for clients with delusional disorder. Clients with delusional disorder often have fixed false beliefs that are not amenable to insight-oriented therapy. B: Psychoeducation is important in helping clients and their families understand the disorder, its symptoms, and treatment options. C: Cognitive therapy helps clients identify and challenge irrational beliefs and thought patterns, which can be beneficial in managing delusions. D: Support therapy provides emotional support and coping strategies for clients, which is crucial in managing symptoms of delusional disorder. In summary, insight-oriented therapy may not be as effective for clients with delusional disorder compared to psychoeducation, cognitive therapy, and support therapy, which are more suitable interventions for this population.
Question 3 of 5
A nurse is planning to provide teaching to a young adult client with insomnia. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C - Keep bedroom cool at night. This is important because a cool environment promotes better sleep by helping the body lower its core temperature, which is essential for falling and staying asleep. Choice A is incorrect as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Choice B is incorrect as taking a nap during the day can interfere with the ability to fall asleep at night. Choice D is incorrect as consuming a high carbohydrate snack at bedtime may disrupt sleep due to potential indigestion or fluctuations in blood sugar levels. In summary, maintaining a cool bedroom temperature is crucial for promoting quality sleep in individuals with insomnia.
Question 4 of 5
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's han Select the correct analysis of the nurse's behavior.
Correct Answer: B
Rationale: The correct answer is B because during the first interview with a grieving parent, it is crucial to be sensitive to the patient's cultural and individual interpretation of touch. By reaching out to take the patient's hand, the nurse may unintentionally make the patient uncomfortable or feel intruded upon. It is important to establish trust and rapport first before physical touch is initiated. This approach respects the patient's boundaries and preferences, promoting a more effective therapeutic relationship. Incorrect answers: A: While empathy and compassion are important, premature physical touch may not always be well-received by the patient. C: Assuming the patient will perceive the gesture as intrusive is a generalization. However, it is important to be cautious and respect the patient's boundaries. D: This answer is not relevant to the scenario provided and does not address the cultural sensitivity and individual interpretation of touch.
Question 5 of 5
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Neuman Systems Model focuses on stressors affecting the patient. 2. Stressors are key in understanding the patient's response to the environment. 3. In a mood disorder, stressors can exacerbate symptoms. 4. By focusing on stressors, the nurse can identify triggers and provide appropriate interventions. Summary of incorrect choices: A: Behaviors - Important, but not the primary focus in Neuman Systems Model. B: Relationships - Relevant, but not the central aspect in this context. C: Self-care activities - Relevant, but not the primary focus when considering a patient's mood disorder.