ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
Correct Answer: B
Rationale: The correct answer is B, recognizing the signs of danger, as it is crucial to be able to identify potential threats before devising an escape plan or identifying safe places. By recognizing signs of danger, the client can proactively assess risky situations and take necessary precautions. This step is vital in ensuring the client's safety and preventing harm. Option A, devising an escape route, would be ineffective if the client cannot recognize the signs of danger to know when to use the route. Option C, identifying a safe place to hide, is not as effective as recognizing signs of danger since hiding may not always be a viable solution. Option D, identifying a signal to indicate it is safe to leave, would not be effective if the client cannot accurately assess when it is safe to leave. Recognizing signs of danger is the foundational step in creating a comprehensive safety plan.
Question 2 of 5
A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.
Correct Answer: C
Rationale: Correct Answer: C. Assess the patient's weight; determine foods and amounts eaten. Rationale: The best initial action is to assess the patient's nutritional status by evaluating weight and food intake. This step helps identify potential malnutrition or other health issues related to the patient's eating habits. By understanding the patient's dietary patterns, the nurse can develop a targeted intervention plan to address the patient's physical health needs. This approach focuses on gathering essential information before making any further decisions or interventions. Summary of Other Choices: A: Exploring ways to help the patient stop smoking is important but addressing the patient's nutritional needs takes precedence. B: Reporting to the shelter manager may not directly address the patient's health concerns and may not lead to appropriate intervention. D: Hospitalization should be considered only if there is an immediate threat to the patient's health and after a comprehensive assessment has been conducted.
Question 3 of 5
A nurse is providing in-home mental health care and determines that the care was effective when the patient demonstrated which of the following?
Correct Answer: C
Rationale: The correct answer is C because a decrease in admission frequency to inpatient psychiatric hospitals indicates improved mental health stability and reduced need for acute care. This outcome shows that the in-home mental health care has been effective in managing the patient's condition. A: Need for continued intensive monitoring in the home suggests ongoing high risk and lack of progress. B: Need for crisis intervention services on an ongoing basis indicates persistent instability and inability to manage symptoms effectively. D: Dependence on parents to participate in care may imply lack of independence and personal growth in managing one's mental health.
Question 4 of 5
A client's husband is visiting his wife during visiting hours. A nurse walking by hears him verbally abuse the client. Which nursing response is appropriate?
Correct Answer: B
Rationale: The correct answer is B because reminding the client's husband of the unit rules is the appropriate nursing response in this situation. This action sets clear boundaries and addresses the inappropriate behavior directly. Asking the client to ask her husband to leave (Option A) puts the burden on the client and may escalate the situation. Asking the husband to come to the nurse's station (Option C) may not address the immediate need to address the abusive behavior. Sitting with the client and her husband to discuss anger issues (Option D) is not appropriate at this time as it does not address the immediate need to stop the verbal abuse.
Question 5 of 5
A nurse in an inpatient setting formulates an outcome for a client who has a nursing diagnosis of altered social interaction R/T paranoid thinking AEB aggressive behaviors. Which initial, correctly written outcome would the nurse expect the client to achieve?
Correct Answer: C
Rationale: Rationale: C is correct because it focuses on addressing the nursing diagnosis of altered social interaction due to paranoid thinking. Listing triggers to angry outbursts shows an understanding of personal patterns and promotes self-awareness. This outcome aligns with the client's current state and is measurable within a specific timeframe. Summary of other choices: A: This choice is incorrect as it does not address the specific issue of paranoid thinking and aggressive behaviors. B: While adaptive coping strategies are important, this choice does not directly target the altered social interaction aspect of the nursing diagnosis. D: Walking away from confrontation may be a coping strategy, but it does not address the underlying issue of paranoid thinking and altered social interaction.