ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
Correct Answer: D
Rationale: The correct answer is D because massaging pressure points can cause skin breakdown in a child in skeletal traction. The pressure exerted during massage can lead to tissue damage and compromise skin integrity. This can result in pressure ulcers or sores, which can be extremely detrimental to the child's recovery. Providing a high protein snack (A) is beneficial for healing, assisting the child to reposition (B) helps prevent complications, and placing weights as a child's bed (C) is necessary for maintaining traction and should not be changed without proper authorization.
Question 2 of 5
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 3 of 5
A nurse is obtaining information about a client's sleep patterns and asks him about the total amount of sleep time compared with the amount of time spent in bed. The nurse is assessing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Sleep efficiency. Sleep efficiency is the ratio of total sleep time to time spent in bed, reflecting how effectively the individual is sleeping. This assessment helps the nurse determine the quality of the client's sleep. A: Sleep latency refers to the time it takes for an individual to fall asleep, not the ratio of sleep time to time spent in bed. B: Sleep architecture pertains to the different stages of sleep (such as REM and non-REM sleep), not the ratio of sleep time to time spent in bed. D: Sleep-wake cycle refers to the body's natural circadian rhythm governing sleep and wakefulness, not the ratio of sleep time to time spent in bed.
Question 4 of 5
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 5 of 5
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.