ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?
Correct Answer: D
Rationale: The correct answer is D: The client has respect for members of the health-care team. Rationale: 1. In some cultures, making direct eye contact with authority figures, like healthcare professionals, can be seen as a sign of respect. 2. By making eye contact only with the family, the client might be showing deference and respect towards the healthcare team. 3. This behavior suggests that the client values the input and presence of the healthcare team in the decision-making process. 4. Choices A, B, and C do not align with the behavior described and are not supported by the cultural perspective of respect and communication.
Question 2 of 5
What is the desirable outcome for the orientation stage of a nurse–patient relationship? The patient will demonstrate behaviors that indicate
Correct Answer: C
Rationale: Rationale: The correct answer is C because establishing rapport and trust with the nurse in the orientation stage is crucial for building a therapeutic relationship. This foundation sets the tone for effective communication, collaboration, and patient engagement throughout the care process. Options A and B focus more on the patient's individuality and personal growth, which are important but secondary to the primary goal of establishing trust. Option D, resolved transference, is not relevant at this early stage and pertains more to deeper stages of therapy. Therefore, option C is the most appropriate outcome for the orientation stage of a nurse-patient relationship.
Question 3 of 5
Which clinical scenario predicts the highest risk for directing violent behavior toward others?
Correct Answer: C
Rationale: The correct answer is C because paranoid delusions of being followed by alien monsters indicate severe psychosis and a distorted perception of reality, leading to potential violent behavior. Delusions involving external threats are associated with a higher risk of aggression. A: Major depressive disorder with delusions of worthlessness may lead to self-harm but not necessarily violence towards others. B: Obsessive-compulsive disorder with rituals is more about controlling anxiety and unlikely to result in violent behavior. D: Completed alcohol withdrawal and starting a rehabilitation program suggest the individual is seeking help and support, which reduces the risk of violence towards others.
Question 4 of 5
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?
Correct Answer: A
Rationale: Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha). Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering. Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace. Step 4: Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.
Question 5 of 5
The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Inadequacy. The patient's drawing lacking arms and feet suggests feelings of inadequacy, as these missing body parts symbolize a lack of capability and completeness. The absence of arms and feet can be interpreted as the patient feeling incapable or incomplete in some aspect of their life. This interpretation aligns with the concept of inadequacy, where the individual may perceive themselves as not measuring up to standards or feeling insufficient. In contrast, choices A, B, and C do not directly relate to the specific symbolism of the missing body parts and are not supported by the information provided in the question.