ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 5
A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit. The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. One afternoon in December, a client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D: It is inappropriate for me to give you my address because our relationship is professional rather than social. Rationale: 1. Boundaries: As a nurse on a forensic psychiatric unit, maintaining professional boundaries is crucial to ensure the safety and well-being of both the nurse and the client. 2. Ethical Conduct: Sharing personal information, like one's address, with a client blurs the lines between professional and personal relationships, which can lead to ethical violations. 3. Safety Concerns: Given the client's history and the nature of the request, disclosing personal information could potentially put the nurse at risk or compromise her safety. 4. Client-Centered Care: By respectfully declining the request and emphasizing the professional nature of their relationship, the nurse upholds the principles of client-centered care and maintains a therapeutic environment. Summary: A: This response does not address the importance of professional boundaries and could potentially lead to ethical issues. B: This response is inappropriate, confrontational, and
Question 2 of 5
The plan of care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?
Correct Answer: B
Rationale: The correct answer is B: Anger management. This is because anger management techniques are specifically designed to help individuals recognize triggers, control emotions, and respond in more constructive ways. Self-monitoring of cues (A) involves identifying personal anger cues but does not necessarily address management strategies. Relaxation training (C) focuses on reducing stress, not specifically managing anger. Response disruption (D) involves interrupting negative behaviors but does not encompass the comprehensive strategies of anger management.
Question 3 of 5
After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?
Correct Answer: B
Rationale: The correct answer is B: Milieu. In behavioral care, the milieu refers to the therapeutic environment or setting where the treatment takes place. It includes factors such as the physical environment, staffing, structure, and culture of the treatment setting. Understanding the milieu is crucial for providing effective care and promoting positive outcomes for patients. Signs and symptoms (choice A) are not service variables but indicators of a patient's condition. Risk (choice C) is related to assessing potential harm or danger to the patient and is not a service variable. Social support (choice D) is important for patient recovery but is not a service variable directly associated with determining settings along the continuum of behavioral care.
Question 4 of 5
Terrell is a thirty-two-year-old male client who was just diagnosed with bipolar disorder and alcohol abuse disorder. He does not meet criteria for hospital admission and is currently able to work and safely care for himself at home. He is also on a new medication regimen that will need frequent lab draws and adjustments for the first several weeks. What is the best setting for treatment for Terrell?
Correct Answer: B
Rationale: The correct answer is B: an intensive community (outpatient) program (IOP). This setting is appropriate for Terrell as he is able to work and care for himself at home, does not require hospitalization, and needs close monitoring due to the new medication regimen. IOP provides structured treatment while allowing Terrell to maintain his daily routine. Choice A: a halfway house, is not the best option as Terrell is currently able to live independently at home and does not need the level of structure and support provided in a halfway house. Choice C: a residential treatment center (RTC), is not necessary as Terrell does not require 24/7 supervision and can continue living at home while attending regular treatment sessions. Choice D: Narcotics Anonymous (NA) is not the best setting for Terrell as his primary issues are bipolar disorder and alcohol abuse, not narcotics addiction. An IOP will provide the appropriate level of care and support for his current needs.
Question 5 of 5
A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition?
Correct Answer: A
Rationale: The correct answer is A because seeing and hearing things while falling asleep is a common symptom of narcolepsy called hypnagogic hallucinations. This occurs during the transition between wakefulness and sleep. Choice B describes symptoms of restless leg syndrome, not narcolepsy. Choice C describes symptoms of insomnia. Choice D indicates a history of sleep disturbances due to previous medication use, not narcolepsy. Therefore, choice A is the most indicative of narcolepsy.