ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit
Question 2 of 5
A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she's helping me, and sometimes I am helping her.' The nurse interprets the patient's statements about her social network as reflecting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Reciprocity. The patient's statements indicate a mutual exchange of support and assistance between her and her friend. Reciprocity in social networks refers to the give-and-take dynamic where both parties provide help and support to each other. This is evident in the patient's description of their friendship. Incorrect choices: A: Denseness refers to the degree to which individuals within a social network are connected to each other. The patient's statements do not specifically indicate a high level of interconnectedness. C: Social support involves the provision of assistance or emotional support within a social network, but the key aspect of reciprocity is missing in this choice. D: Constraints refer to the limitations or restrictions within a social network that may hinder relationships or interactions. There is no indication of constraints in the patient's statements.
Question 3 of 5
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.
Question 4 of 5
A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse determines that the client is experiencing which degree of anxiety?
Correct Answer: C
Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.
Question 5 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: D
Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.