ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
A nurse has used the Geriatric Depression Scale (short form) to assess an older adult client for depression. Which score would lead the nurse to suspect that the client is mildly depressed?
Correct Answer: B
Rationale: The correct answer is B (5). The Geriatric Depression Scale short form ranges from 0 to 15, with higher scores indicating more severe depression. A score of 5 falls within the mild depression range (0-9), suggesting the client is mildly depressed. Scores of 3 (A), 8 (C), and 13 (D) would indicate minimal or no depression (0-4), moderate depression (10-14), and severe depression (15), respectively. Therefore, choice B is the most appropriate score to suspect mild depression in this case.
Question 2 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 3 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 4 of 5
A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advanced directives?
Correct Answer: D
Rationale: The correct answer is D: I have the right to refuse treatment. This statement indicates an understanding of advance directives as it acknowledges the client's autonomy in making decisions about their healthcare, including the option to refuse treatment. This aligns with the purpose of advance directives, which is to allow individuals to express their healthcare preferences in advance. Explanation of incorrect choices: A: I can't change my instructions once a minute - This statement is incorrect because individuals have the right to update or change their advance directives at any time. B: My doctor will need to approve my advance directives - This is incorrect as advance directives are the patient's own preferences and do not require approval from the doctor. C: I need an attorney to witness my signature on the advance directives - While having a witness is recommended, it does not necessarily have to be an attorney. This choice implies a misunderstanding of the requirements for advance directives.
Question 5 of 5
A nurse who is working as part of an interdisciplinary team is looking at potential outpatient services for a patient. The patient requires a setting that provides a program of about 4 hours per day, three times per week with a 24-hour crisis and consultation service. The nurse would identify which of the following as appropriate?
Correct Answer: C
Rationale: The correct answer is C: Ambulatory level two. This setting provides a structured program of about 4 hours per day, three times per week, which aligns with the patient's needs. Additionally, it offers a 24-hour crisis and consultation service, ensuring comprehensive support. A: Primary care setting does not typically offer the intensity and frequency of services required for this patient. B: Ambulatory level one may not provide the necessary duration and frequency of the program. D: Multimodal outpatient setting does not specify the intensity and frequency of services needed for this patient.