ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
A nurse surveys medical records. Which finding signals a violation of patients' rights?
Correct Answer: A
Rationale: The correct answer is A because not allowing a patient to have visitors violates their right to social interaction and support. Patients have the right to visitors unless it poses a risk to their health or safety. Choice B is not a violation as searching belongings is a standard procedure for safety. Choice C is not a violation as placing a patient on continuous observation is necessary for their safety. Choice D is not a violation as using physical restraint is justified to prevent harm to staff or other patients.
Question 2 of 5
A cognitively impaired patient has been a widow for 30 years. This patient frantically tries to leave the facility, saying, 'I have to go home to cook dinner before my husband arrives from work.' To intervene with validation therapy, the nurse will say:
Correct Answer: C
Rationale: The correct answer is C because validation therapy involves acknowledging and validating the person's feelings and reality. By reiterating the patient's desire to go home and prepare dinner for her husband, the nurse validates the patient's emotions and reality, which can help reduce distress and agitation. Choice A is incorrect because it simply redirects the patient without acknowledging her feelings or reality. Choice B is incorrect because it focuses on the patient's widow status rather than validating her current feelings and beliefs. Choice D is incorrect because it introduces a potentially negative and untrue statement about the patient's husband, which could escalate the situation rather than providing validation.
Question 3 of 5
A patient with a psychiatric disorder is considering joining a clubhouse with other patients who have mental disorders. The patient asks the nurse to explain what services the clubhouses provide. Which response by the nurse would be most accurate?
Correct Answer: D
Rationale: The correct answer is D because clubhouse programs are known for being primarily run by psychiatric patients with minimal assistance from mental health staff. This model emphasizes empowerment, peer support, and self-help. It promotes a sense of community and belonging among members, allowing individuals to take an active role in their recovery. Choice A is incorrect because clubhouses are not typically open 24 hours a day. They usually operate during standard business hours. Choice B is incorrect because clubhouses are not run entirely by psychiatric mental health nurses. While mental health staff may be present, the focus is on peer support and collaboration among members. Choice C is incorrect because the primary focus of clubhouses is not on providing ongoing intensive psychotherapy. Instead, they emphasize socialization, skill-building, and vocational support in a non-clinical setting.
Question 4 of 5
The nurse is caring for a 70-year-old psychiatric patient who has been prescribed a number of medications. When teaching the patient about the medications, which explanation would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C. As individuals age, changes in liver functioning can lead to slower metabolism and clearance of medications from the body. This can result in medication levels accumulating in the system, potentially leading to toxicity. This explanation is important for the patient to understand the risks associated with their medications. Choice A is incorrect because the speed of stomach emptying does not necessarily impact medication effects. Choice B is incorrect as the entire GI system speeding up is not a typical age-related change and does not necessarily affect medication digestion. Choice D is incorrect as age-related circulation changes do not necessarily mean medications are delivered more quickly to specific body sites.
Question 5 of 5
The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother complains that the children are constantly fighting and have intense sibling rivalry. Which statement would be most appropriate when advising the parents about how to respond to the sibling rivalry?
Correct Answer: A
Rationale: Step 1: Acknowledge individuality - By reacting to each child as unique individuals with their own talents and interests, parents can promote a sense of identity and reduce competition. Step 2: Encouraging positive interactions - Fostering cooperation rather than simply demanding it can help improve sibling relationships. Step 3: Address underlying issues - By focusing on individual needs and interests, parents can address root causes of rivalry rather than just surface behaviors. Step 4: Promoting healthy relationships - Encouraging children to appreciate each other's strengths and differences can lead to a more harmonious sibling dynamic. Summary: Choice A is correct as it addresses the core issues of sibling rivalry by promoting individuality and positive interactions. Choices B, C, and D are incorrect as they do not address the underlying causes of rivalry, promote unhealthy dynamics, or offer effective solutions.