ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.
Question 2 of 5
Family members describe the patient as 'a difficult person who finds fault with others.' The patient verbally abuses nurses for their poor care. The most likely explanation lies in
Correct Answer: C
Rationale: The correct answer is C: a personality style that externalizes problems. This is likely the most accurate explanation because the patient's behavior of finding fault with others and verbally abusing nurses suggests a tendency to blame external factors for their own problems, rather than taking responsibility. This is characteristic of a personality style that externalizes problems, where individuals attribute their issues to others or external circumstances. Poor childrearing (choice A) may contribute, but it doesn't directly address the behavior described. Automatic thinking and cognitive distortions (choice B) are related to cognitive processes, not personality styles. Delusions of harm (choice D) are not mentioned in the scenario.
Question 3 of 5
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
Correct Answer: B
Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.
Question 4 of 5
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.
Question 5 of 5
A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, 'Back off!' and then goes to the dayroom. While following the patient into the dayroom, the nurse should
Correct Answer: A
Rationale: The correct answer is A, as it prioritizes safety by ensuring physical space between the nurse and the patient, reducing the risk of potential harm. By creating distance, the nurse can prevent escalation and maintain a safe environment for both parties. This approach allows for de-escalation and assessment of the situation without provoking further agitation. Choice B is incorrect as it may trap the patient and limit their options, potentially increasing their distress. Choice C is incorrect as maintaining a fixed distance may not be sufficient if the patient becomes physically aggressive. Choice D is incorrect as immediately engaging in conversation may exacerbate the situation and lead to further agitation.