ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
A hospitalized patient who has been taking an antipsychotic medication for 2 weeks begins pacing and walking throughout the unit. He tells the nurse that he 'cannot sit still.' The nurse documents this finding as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Akathisia. Akathisia is a common extrapyramidal side effect of antipsychotic medications characterized by an inner restlessness and an inability to sit still. In this scenario, the patient's symptoms of pacing and walking throughout the unit, along with feeling like he 'cannot sit still,' align with the definition of akathisia. A: Akinesia refers to a lack of movement and is not consistent with the patient's hyperactivity. B: Dystonia presents with sustained muscle contractions, causing abnormal postures or repetitive movements. C: Pseudoparkinsonism manifests as symptoms similar to Parkinson's disease, such as tremors and rigidity, which are not present in the patient's case.
Question 2 of 5
When preparing the plan of care for a forensic client, a nurse determines not to investigate the details of the crime. Which of the following best supports the rationale for the nurse's decision?
Correct Answer: C
Rationale: The correct answer is C because not investigating the crime details will help the nurse maintain unbiased attitudes towards the client and provide care without being influenced by personal opinions or judgments. By avoiding learning about the crime, the nurse can focus on the client's health needs and promote a therapeutic relationship based on trust and respect. A: This choice is incorrect because the nurse's personal feelings of fear should not dictate the decision-making process in providing care for the client. B: This choice is incorrect because protecting the nurse from anxiety is not the primary reason for not investigating the crime details. The focus should be on providing effective care for the client. D: This choice is incorrect because maintaining professional boundaries is important, but the primary reason for not investigating the crime details is to ensure impartiality and quality care for the client.
Question 3 of 5
While interviewing a patient, a nurse asks, 'What do you do when you get angry?' Which patient response would indicate to the nurse that the patient engages in anger suppression?
Correct Answer: B
Rationale: The correct answer is B because withdrawing and pouting about the problem indicates a passive-aggressive behavior associated with anger suppression. This response suggests that the patient avoids direct confrontation and attempts to mask their anger by withdrawing and internalizing their emotions. A: "I've been known to fly off the handle when I'm angry." - This response indicates explosive anger expression, not suppression. C: "I usually approach the person directly to talk about it." - This response suggests open communication, not suppression. D: "I try to discuss how I'm feeling about it with a close friend." - This response implies seeking support and emotional expression, not suppression.
Question 4 of 5
A female consumer with severe and recurrent mania argues with outpatient staff about her medication. She does not believe she has a mental illness. Although she takes medication during hospitalizations, she stops taking them after discharge. Which intervention is most helpful in promoting medication adherence?
Correct Answer: D
Rationale: The correct answer is D because it focuses on exploring the patient's perceptions and experiences regarding medication and linking medication adherence to her personal goals. By understanding the patient's beliefs and motivations, the healthcare provider can tailor interventions to address her specific concerns and increase her willingness to take medication. This approach respects the patient's autonomy and empowers her to make informed decisions about her treatment. Choice A is incorrect because changing staff members may not address the underlying issues contributing to medication non-adherence. Choice B is not as effective as it focuses solely on explaining the benefits and side effects of medication without considering the patient's individual beliefs and concerns. Choice C, while providing education, does not address the patient's personal experiences and motivations, which are crucial in promoting medication adherence.
Question 5 of 5
A student nurse is studying for an exam on the recovery process. What is an example of a statement that demonstrates their understanding to their study group?
Correct Answer: C
Rationale: The correct answer is C: "Recovery is a nonlinear process based on instilling hope." This answer demonstrates a deep understanding of the recovery process as it acknowledges that recovery is not a straightforward path and emphasizes the importance of instilling hope in individuals undergoing recovery. Recovery from mental illness or substance use is a complex and individualized journey that may involve setbacks and progress. Instilling hope is crucial in motivating individuals to continue working towards their recovery goals. Choice A is incorrect because it presents a pessimistic view that the majority of people do not recover, which is not aligned with the recovery-oriented approach. Choice B is incorrect as it implies that the healthcare team solely dictates the recovery process, disregarding the individual's autonomy and empowerment. Choice D is incorrect as it overlooks the collaborative nature of the recovery process and places the responsibility solely on the client.