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
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.
Question 3 of 5
The nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal behavior. In delusional disorder, individuals typically exhibit normal behavior aside from their fixed false beliefs (delusions). Delusions are the key characteristic of this disorder, while cognitive impairment (A) is not a defining feature. Labile affect (C) refers to unstable emotions, which are not typically seen in delusional disorder. Evidence of motor symptoms (D) is more indicative of neurological conditions rather than delusional disorder. Hence, the nurse can expect the client to display normal behavior during the interview.
Question 4 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 5 of 5
Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the day room with a visiting family member. It is obvious to the nurse this pattern has played out before. Violence is often escalated when family members or authority figures:
Correct Answer: D
Rationale: The correct answer is D: Engage in a power struggle. Engaging in a power struggle can escalate the situation by challenging the individual's sense of control and leading to increased anger and aggression. This behavior can further provoke the individual and worsen the situation. A: Using a soft tone of voice may not address the underlying issues causing the anger and can be perceived as patronizing. B: Moving away in fear can demonstrate avoidance behavior and may not effectively address the situation. C: Using simple words to communicate may not address the power dynamic at play and may not de-escalate the situation effectively. In summary, engaging in a power struggle can exacerbate the situation, while the other choices may not effectively address the root cause of the anger and aggression displayed by Larry.