ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates
Correct Answer: A
Rationale: The correct answer is A: boundary blurring. The nurse's statement suggests an inappropriate emotional involvement with the patient, crossing professional boundaries. This can lead to biased decision-making and hinder teamwork. Sexual harassment (B) and positive regard (C) are not applicable in this context. Advocacy (D) involves supporting and promoting the patient's best interests, which is not demonstrated in the nurse's statement.
Question 2 of 5
Which of the following clients does not have the ability to refuse medications or treatments? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: A client who has been deemed incompetent by the court. This client does not have the ability to refuse medications or treatments because they have been legally declared incompetent to make decisions regarding their own healthcare. This determination is made by the court based on the individual's mental capacity. In contrast, choices A and B pertain to clients who are under different forms of commitment, but maintain the right to refuse treatment unless there is an emergency or specific legal circumstance. Choice D, a client with antisocial personality disorder, still retains the right to refuse medications or treatments unless they are deemed a danger to themselves or others.
Question 3 of 5
A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advanced directives?
Correct Answer: D
Rationale: The correct answer is D: I have the right to refuse treatment. This statement indicates an understanding of advance directives as it acknowledges the client's autonomy in making decisions about their healthcare, including the option to refuse treatment. This aligns with the purpose of advance directives, which is to allow individuals to express their healthcare preferences in advance. Explanation of incorrect choices: A: I can't change my instructions once a minute - This statement is incorrect because individuals have the right to update or change their advance directives at any time. B: My doctor will need to approve my advance directives - This is incorrect as advance directives are the patient's own preferences and do not require approval from the doctor. C: I need an attorney to witness my signature on the advance directives - While having a witness is recommended, it does not necessarily have to be an attorney. This choice implies a misunderstanding of the requirements for advance directives.
Question 4 of 5
While interviewing a patient, a nurse asks, 'What do you do when you get angry?' Which patient response would indicate to the nurse that the patient engages in anger suppression?
Correct Answer: B
Rationale: The correct answer is B because withdrawing and pouting about the problem indicates a passive-aggressive behavior associated with anger suppression. This response suggests that the patient avoids direct confrontation and attempts to mask their anger by withdrawing and internalizing their emotions. A: "I've been known to fly off the handle when I'm angry." - This response indicates explosive anger expression, not suppression. C: "I usually approach the person directly to talk about it." - This response suggests open communication, not suppression. D: "I try to discuss how I'm feeling about it with a close friend." - This response implies seeking support and emotional expression, not suppression.
Question 5 of 5
The nurse is counseling a family with a child who has been abused by an adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse to stress?
Correct Answer: A
Rationale: Step 1: A supportive relationship with an adult is crucial for the child to rebuild trust and feel safe after experiencing abuse. Step 2: Long-term psychotherapy may be beneficial, but establishing a supportive relationship is the primary focus. Step 3: Antidepressant medications may be used if necessary, but the primary need is emotional support. Step 4: Short-term separation from parents can further traumatize the child; maintaining a supportive family environment is key. Summary: Choice A is correct because it addresses the immediate emotional needs of the child post-abuse, while the other choices focus on secondary or potentially harmful interventions.