ATI RN
ATI PN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
A depressed client discussing marital problems with the nurse says,"What will I do if my husband asks me for a divorce?" Which response by the nurse would be an example of therapeutic communication?
Correct Answer: C
Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.
Question 2 of 5
Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates therapeutic communication by acknowledging the patient's experience without judgment and encourages further exploration of the hallucinations. Choice A dismisses the patient's experience, choice B invalidates their reality, and choice D does not address the patient's experience or encourage further discussion. Using open-ended questions like in choice C promotes trust and allows the patient to express their thoughts and feelings.
Question 3 of 5
A group of nursing students are reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality?
Correct Answer: A
Rationale: The correct answer is A: Madeleine Leininger. Leininger is known for developing the theory of cultural care diversity and universality, which emphasizes the importance of cultural factors in nursing care. She introduced the concept of transcultural nursing, highlighting the need for nurses to consider cultural beliefs and practices when providing care. This theory promotes culturally sensitive and competent care to meet the diverse needs of patients. Choice B: Sister Calista Roy, is known for the adaptation model, which focuses on the individual's response to stressors. Choice C: Hildegard Peplau, is known for the interpersonal relations theory, focusing on the nurse-patient relationship. Choice D: Dorothea Orem, is known for the self-care deficit theory, which emphasizes the patient's ability to meet their own care needs. These theories are valuable in nursing practice but do not specifically address cultural diversity and universality like Leininger's theory does.
Question 4 of 5
A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first?
Correct Answer: A
Rationale: The correct answer is A: Erotic feelings. According to the Masters and Johnson model, the sexual response cycle starts with the excitement phase, during which erotic feelings and thoughts initiate sexual arousal. Penile erection (B), vaginal lubrication (C), and increased muscle tension (D) are part of the subsequent phases of the cycle, which include plateau, orgasm, and resolution. Therefore, based on the sequence proposed by Masters and Johnson, the first step in the sexual response cycle is the experience of erotic feelings.
Question 5 of 5
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse's suspicions?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates grandiosity and a sense of superiority, which are key traits of narcissistic personality disorder. The statement reflects an inflated self-image and a belief that others admire and envy them. Choice B is indicative of paranoid delusions, not narcissism. Choice C suggests introversion and introspection, which are not characteristic of narcissistic personality disorder. Choice D, being the life of the party and making new friends, may suggest extraversion but lacks the sense of superiority and entitlement that is typical of narcissism.