ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A community psychiatric nurse is reviewing data to find gaps in the local health-care system. What type of service yields the best outcomes for the acutely ill client?
Correct Answer: A
Rationale: The correct answer is A: wraparound services. This type of service provides comprehensive and individualized care that addresses the multiple needs of acutely ill clients, leading to better outcomes. It includes coordination of various services such as medical, psychological, social, and community support. This approach ensures holistic care and continuity of services, promoting recovery and reducing relapses. Summary: B: Community health services may offer some support but lack the personalized and comprehensive approach of wraparound services. C: Facility mental health services focus on treatment within a specific setting and may not address the broader needs of the client. D: Individual therapy services, while beneficial, may not be sufficient for acutely ill clients who require a more holistic and coordinated approach.
Question 2 of 5
The nurse is having a therapeutic conversation with a client in a locked inpatient psychiatric unit. The client states,"Please don't tell anyone about my sexual abuse." Which is the appropriate nursing response?
Correct Answer: B
Rationale: The correct answer is B because in an inpatient psychiatric unit, patient safety and treatment planning are the top priorities. By informing the healthcare team about the client's history of sexual abuse, they can provide appropriate care and interventions. Confidentiality cannot always be guaranteed in a psychiatric setting due to the duty to protect the client and others. Choice A is incorrect as it guarantees confidentiality, which may not be feasible in this situation. Choice C is incorrect as it challenges the client's decision and may breach trust. Choice D is incorrect as it focuses solely on the client's feelings without addressing the need for treatment planning by the healthcare team.
Question 3 of 5
Which level of prevention activities would a nurse in an emergency department employ most often?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.
Question 4 of 5
A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self."
Correct Answer: D
Rationale: The correct answer is D because offering to sit with the patient shows empathy and a willingness to provide support. By expressing a desire to help the patient feel comfortable and open up, the nurse is effectively using the communication technique of "offering self." This approach creates a safe space for the patient to share their feelings and concerns. Choice A is incorrect because sharing personal experiences can shift the focus away from the patient's needs. Choice B is incorrect as it focuses on the patient's thoughts without offering support or empathy. Choice C is incorrect because it lacks personal engagement and does not actively offer the nurse's presence for support.
Question 5 of 5
A group of nursing students are reviewing information about the evolution of mental health care and are discussing the recommendations of the final report of the Joint Commission on Mental Illness and Health. The students demonstrate understanding of this information when they identify that the report recommended an increase in which of the following?
Correct Answer: C
Rationale: The correct answer is C: Clinics supplemented by general hospital units. The Joint Commission on Mental Illness and Health recommended an increase in community-based mental health services, including clinics supplemented by general hospital units, to provide more accessible and comprehensive care for individuals with mental health issues. This shift in focus from institutional care to community-based services aimed to improve overall mental health care delivery and outcomes. Incorrect choices: A: Numbers of mental health hospitals - The report actually recommended a decrease in reliance on mental health hospitals. B: State funding for mental health care - While funding is important, the report focused more on the type and delivery of mental health services rather than just funding. D: Use of psychotherapy by psychiatrists - While psychotherapy is a valuable treatment modality, the report focused on broader system-level recommendations rather than specific treatment methods.