ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Efforts are focused on helping the client become 'fit' to stand trial. This is because when someone is found unfit to stand trial, the goal of hospitalization in a forensic mental health facility is to provide treatment and interventions aimed at restoring the individual's competency to participate in the legal proceedings. This is in line with the legal and ethical principles of ensuring that individuals have the capacity to understand the charges against them and assist in their defense. Options A, C, and D are incorrect because they do not address the primary purpose of hospitalization for individuals found unfit to stand trial, which is to restore their competency for legal proceedings.
Question 2 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B because summarizing the essence of the patient's comments in your own words shows active listening, understanding, and empathy. This helps the patient feel heard and validated. Choice A may impose the tutor's opinion on the patient, undermining therapeutic communication. Choice C disrupts the patient's thought process and may inhibit them from opening up further. Choice D focuses on the tutor's approval rather than the patient's feelings, which can be counterproductive in a therapeutic setting.
Question 3 of 5
Nancy is a nurse. After talking with her mother, she became concerned enough to drive over and check on her. Her mother's appearance is disheveled, words are nonsensical, smells strongly of urine, and there is a stain on her dressing gown. Nancy recognizes that her mother's condition is likely temporary due to:
Correct Answer: C
Rationale: The correct answer is C: A urinary tract infection. Nancy's mother's symptoms such as nonsensical speech, disheveled appearance, strong urine smell, and stain on dressing gown are indicative of a urinary tract infection. UTIs in the elderly can cause confusion, delirium, and incontinence. By recognizing these symptoms, Nancy can suspect a UTI as the cause and seek medical treatment promptly to address the infection. Incorrect choices: A: Early onset dementia - Symptoms of UTI are acute and temporary, not indicative of a chronic condition like dementia. B: A mild cognitive disorder - UTI symptoms are not typically associated with mild cognitive disorders. D: Skipping breakfast - Skipping breakfast does not explain the range of symptoms observed in Nancy's mother.
Question 4 of 5
Jimmy has been hospitalized three times for schizophrenia. Typically, he is very disorganized, spends his money irresponsibly, and loses his housing when he does not pay the rent. In turn, Jimmy cannot be located by his case manager, which leads to treatment nonadherence and relapse. Which response would be most therapeutic? Select all that apply.
Correct Answer: C
Rationale: Rationale: Option C is the most therapeutic response because long-acting injectable antipsychotic medication can help address Jimmy's treatment nonadherence, as he may forget or choose not to take oral medications. This option also involves collaboration with his prescribing clinician, ensuring a comprehensive approach to his care. Summary: A: This response focuses on punishment rather than therapeutic intervention, which may worsen Jimmy's symptoms. B: While having a guardian could help manage his finances, it does not directly address his treatment nonadherence and relapse issues. D: Allowing periods of homelessness as a natural consequence is not a therapeutic approach and may exacerbate Jimmy's situation.
Question 5 of 5
Mr. Jones is a recovering alcoholic with a recent suicide attempt. He has been discharged from the treatment setting after a ten-day stay, and the social worker is setting up housing for him. Which type of housing is most appropriate for Mr. Jones?
Correct Answer: C
Rationale: The most appropriate housing for Mr. Jones is group housing (Choice C) as it provides a supportive environment crucial for his recovery. Group housing offers peer support, structured routines, and access to counseling services, which can help him maintain sobriety and prevent relapse. Detoxification unit (Choice A) is not suitable as Mr. Jones has already been discharged from treatment. Nursing home (Choice B) is not appropriate as he does not require long-term care. Homeless shelter (Choice D) does not provide the necessary support for his complex needs. Group housing is the best option for Mr. Jones to ensure his continued recovery and well-being.