ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
A nurse is reviewing the American Nurses Association's Statement on Psychiatric Nursing Practice published in 1967, which sanctioned the involvement of psychiatric-mental health nurses in the provision of holistic nursing care. Integrating knowledge of the various theories and views of mental health and illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
Correct Answer: B
Rationale: Rationale: 1. Florence Nightingale emphasized holistic care in her publication "Notes on Nursing." 2. She advocated for considering physical, emotional, social, and spiritual aspects of patients' well-being. 3. This aligns with the holistic approach endorsed by the American Nurses Association in 1967. 4. Sigmund Freud's psychoanalytic theory focuses on unconscious processes, not holistic care. 5. Hildegarde Peplau's theory emphasizes nurse-patient relationships, not specifically holistic care. 6. Clifford Beers' work focuses on his personal experience with mental illness, not holistic care. Summary: Florence Nightingale's "Notes on Nursing" is the correct choice as it aligns with the holistic approach endorsed by the American Nurses Association in 1967. Other options do not directly relate to holistic care.
Question 2 of 5
The impulse control spectrum can begin in childhood and continue on into adulthood, often morphing into criminal behaviors. Working with patients diagnosed with these disorders, the best examples of expressed emotion by the nursing staff are:
Correct Answer: A
Rationale: The correct answer is A: Low to prevent emotional reactions. When working with patients with impulse control disorders, it is crucial for nursing staff to maintain low expressed emotion levels to prevent triggering emotional reactions in the patients. High emotional expression can exacerbate the patients' symptoms and lead to escalated behaviors. Matching the patient's emotions (B) can also be risky as it may inadvertently validate or reinforce maladaptive behaviors. Being flat (C) without any emotional output can be perceived as cold and uncaring, hindering the therapeutic relationship. High expression (D) may overwhelm the patient and hinder therapeutic progress. Therefore, maintaining low emotional reactions is the most effective approach to support patients with impulse control disorders.
Question 3 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that time-out is no longer effective for April. The fact that April's mother puts her in time-out up to 20 times a day suggests overuse, leading to desensitization. This renders time-out ineffective as a therapeutic tool. April's increasing agitation and lack of self-control despite time-outs indicate the need for a different approach. Choices A and C are incorrect because they assume time-out is still effective, which contradicts the scenario. Choice D is incorrect as seclusion and restraint should only be considered as a last resort due to ethical and safety concerns.
Question 4 of 5
Which factor isn't likely to attract a patient to complementary and alternative medicine?
Correct Answer: A
Rationale: The correct answer is A because the statement that complementary and alternative medicine is always less expensive than conventional medical treatment is not true. Cost is often a significant factor in healthcare decisions, but it is not the only factor that attracts patients to complementary and alternative medicine. Patients may be drawn to these practices due to a desire for more personalized care (B), a perception of lower risk compared to pharmaceuticals (C), or dissatisfaction with the effectiveness of traditional medicine (D). However, cost alone is not a primary factor in choosing complementary and alternative medicine.
Question 5 of 5
The nurse assigned to ACT should explain the program's treatment goal as
Correct Answer: D
Rationale: The correct answer is D because it accurately describes the treatment goal of Assertive Community Treatment (ACT) programs. ACT aims to provide intensive treatment and support for mentally ill individuals to help them live successfully in the community. This involves a comprehensive approach that includes medication management, therapy, and other services tailored to each individual's needs. Choice A is incorrect because ACT is not solely focused on maintaining abstinence from alcohol and other substances of abuse. Choice B is incorrect as it describes a different type of program for mentally ill patients in need of stabilization, not necessarily those in the community. Choice C is incorrect as it specifically mentions incarcerated inmates, which is not a focus of ACT programs designed for community living.