ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 9
A nurse is discussing follow-up care with a forensic client who is being discharged the following week. The client asks the nurse what problems to expect regarding his follow-up care. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the potential challenges the forensic client may face in finding a community provider due to safety and liability concerns. Forensic clients may have a history of legal issues or violence, which can make it difficult to find providers willing to take on their care. This response shows awareness of the unique circumstances of forensic clients. Choice A is incorrect because it dismisses potential difficulties without considering the client's specific situation. Choice B is incorrect as it assumes the client needs to return to the inpatient unit for follow-up care, which may not be the case. Choice C is incorrect as it only mentions waiting lists, not the safety and liability concerns that are more pertinent to forensic clients.
Question 2 of 9
As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: D
Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.
Question 3 of 9
As part of an interdisciplinary team, a nurse is assisting with a patient assessment to determine the most appropriate setting for treatment. The team decides that an acute ambulatory setting would be most appropriate. Which of the following would support the team's decision?
Correct Answer: C
Rationale: The correct answer is C. This choice supports the decision for an acute ambulatory setting because it indicates that the patient is unable to contract for treatment beyond initial care, suggesting they require immediate and continuous support. A: This choice does not directly support the need for an acute ambulatory setting, as the severity of symptoms alone may not dictate the setting. B: Marked impairment in daily life is concerning but does not necessarily indicate the need for an acute ambulatory setting specifically. D: A limited ability to seek support is important but may not be the primary factor in determining the setting for treatment.
Question 4 of 9
On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?
Correct Answer: D
Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.
Question 5 of 9
Nurse Sheila makes adjustments to the client's plan of care after talking with the client. This is most likely an example of what component of the EBP model?
Correct Answer: B
Rationale: The correct answer is B: client preferences. In the EBP model, client preferences play a crucial role in decision-making. When Nurse Sheila adjusts the client's plan of care after talking with them, she is considering the client's individual needs, values, and preferences. This aligns with the client-centered approach of EBP, where decisions are made collaboratively with the client. Incorrect choices: A: Best available research - While research is important in EBP, in this scenario, the focus is on the client's preferences rather than solely relying on research evidence. C: Nursing expertise - While nursing expertise is valuable, in this case, the emphasis is on incorporating the client's input into the plan of care. D: Review of evidence - While reviewing evidence is a component of EBP, in this scenario, the main focus is on the client's preferences rather than the evidence alone.
Question 6 of 9
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a cognitive restructuring process. The patient challenges a negative thought ("everyone at school hates me") with evidence to the contrary ("Most people like me and I have a friend named Todd"). This shows progress in identifying and changing maladaptive thought patterns. Choice A indicates aggression, choice C shows difficulty in implementing coping skills, and choice D suggests impulsivity without addressing underlying issues.
Question 7 of 9
The nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would the nurse expect to find?
Correct Answer: D
Rationale: The correct answer is D because individuals with delusional disorder typically live with one or more fixed delusions for an extended period. This is a key characteristic of the disorder. Choice A is incorrect as it describes a separate condition (major depression). Choice B is incorrect as disruptive behavior patterns are not a defining feature of delusional disorder. Choice C is incorrect as delusions in this disorder are typically not bizarre but rather fixed and plausible to the individual.
Question 8 of 9
A nursing student uses a client's full name on an interpersonal process recording submitted to the student's instructor. What is the instructor's priority intervention?
Correct Answer: B
Rationale: The correct answer is B because maintaining client confidentiality is a fundamental principle in nursing ethics. By using the client's full name on a submitted record, the student has breached confidentiality. The instructor's priority intervention should be to correct this error and remind the student of the importance of safeguarding client information. Choices A, C, and D are incorrect because they do not address the primary issue of confidentiality breach. Reinforcing accurate documentation (A) is important but secondary to confidentiality. Choice C and D are incorrect as client incompetency or involuntary commitment does not automatically negate the need for confidentiality.
Question 9 of 9
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Altering routines may disrupt stability and increase anxiety for children. 2. Children benefit from consistency post-divorce to provide a sense of security. 3. Acknowledging children are not to blame is crucial for their emotional well-being. 4. Developing a regular visitation schedule fosters predictability and comfort. 5. Consistent limits help establish boundaries and structure for children. Therefore, statement A indicates a need for additional teaching as it could potentially harm the children's emotional well-being by disrupting their routines.