ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.
Question 2 of 5
The nurse is having a therapeutic conversation with a client in a locked inpatient psychiatric unit. The client states,"Please don't tell anyone about my sexual abuse." Which is the appropriate nursing response?
Correct Answer: B
Rationale: The correct answer is B because in an inpatient psychiatric unit, patient safety and treatment planning are the top priorities. By informing the healthcare team about the client's history of sexual abuse, they can provide appropriate care and interventions. Confidentiality cannot always be guaranteed in a psychiatric setting due to the duty to protect the client and others. Choice A is incorrect as it guarantees confidentiality, which may not be feasible in this situation. Choice C is incorrect as it challenges the client's decision and may breach trust. Choice D is incorrect as it focuses solely on the client's feelings without addressing the need for treatment planning by the healthcare team.
Question 3 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.
Question 4 of 5
A student nurse has been asked by the mental health nursing instructor to plan educational interventions for a forensic client with whom the student has been working. Which of the following would be most important for the student nurse to include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Description of information about pertinent legal and court proceedings that are pending. Rationale: Understanding legal and court proceedings is crucial for a forensic client as it directly impacts their current situation and future outcomes. Providing this information can empower the client to make informed decisions and actively participate in their legal process, promoting autonomy and self-advocacy. Summary: A: While genetic and neurologic factors can contribute to criminal behavior, focusing solely on these aspects may not be the most immediate concern for the client's current needs. C: Nutrition and exercise are important for overall well-being but may not be the top priority when dealing with legal matters. D: Connecting the client's family to community providers is beneficial, but understanding legal proceedings is more urgent for the client's immediate needs.
Question 5 of 5
Which level of prevention activities would a nurse in an emergency department employ most often?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.