ATI RN
ATI Mental Health Final Questions
Question 1 of 5
A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
Correct Answer: A
Rationale: The correct answer is A. By having the patient's spouse mark refill dates on the family calendar, it promotes family involvement in medication management, enhancing adherence. It also serves as a visual reminder for both the patient and spouse, reducing the likelihood of missed refills. This collaborative approach strengthens the support system and helps prevent relapse. Choice B is incorrect because it does not actively involve the patient or address the underlying issue of forgetfulness. Choice C may not be as effective as involving the spouse directly in the process. Choice D, while involving the patient, is too frequent and may not be necessary if the patient's stability can be maintained with proper support at home.
Question 2 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. The patient's inability to maintain eye contact, lowering of the chin, and looking at the floor are all nonverbal cues that convey important information about the patient's emotional state. Nonverbal communication plays a significant role in expressing feelings and emotions, and in this scenario, the patient's nonverbal cues indicate potential signs of distress or discomfort. The nurse's assessment of these nonverbal behaviors is crucial for understanding the patient's underlying emotions and providing appropriate support and care. Summary: B: A message filter - This choice is incorrect because the patient's nonverbal behaviors are not acting as a filter for the message but are a form of communication themselves. C: A cultural barrier - This choice is incorrect as the patient's nonverbal cues are more indicative of emotional distress rather than a cultural barrier. D: Social skills - This choice is incorrect because the patient's nonverbal behaviors are related to emotional expression rather than social
Question 3 of 5
A Red Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman's pet poodle died as a result of the tornado. Which of the following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: The correct answer is A. The nurse would most likely expect to hear the woman express shock and numbness due to the traumatic event. This response aligns with the concept of psychological numbing, which is a common immediate reaction to severe trauma. The woman's statement of not being able to feel anything and nothing seeming real indicates a dissociative response, which is a typical initial coping mechanism in such situations. Choices B, C, and D are incorrect because they primarily focus on emotional devastation, practical concerns (insurance claim), and grief over the loss of the pet poodle, respectively. While these responses are valid emotional reactions, they do not reflect the typical immediate psychological response to a traumatic event like the one described. In contrast, choice A captures the expected initial shock and numbness often experienced in such circumstances.
Question 4 of 5
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.
Question 5 of 5
A patient asks the nurse if exercise and what she eats can impact her mood. The nurse's best response is which of the following?
Correct Answer: D
Rationale: The correct answer is D because extensive research supports that exercise and proper nutrition significantly improve mood symptoms. Regular exercise releases endorphins and reduces stress, leading to improved mood. Proper nutrition provides essential nutrients for brain function and mood regulation. Choices A, B, and C are incorrect as they do not provide evidence-based information like choice D. Choice A dismisses the importance of exercise and nutrition, choice B implies limited significance, and choice C overlooks the essential role of nutrition in mood regulation.