ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
Correct Answer: C
Rationale: Correct Answer: C: Risk for Other-Directed Violence related to alcohol withdrawal Rationale: 1. The patient is exhibiting combative behavior and altered thought processes, indicating potential for violent behavior towards others. 2. Other-directed violence encompasses harm towards others, making it a priority to ensure the safety of both the patient and others. 3. This diagnosis addresses the immediate safety concern and allows for interventions to prevent harm to others. Incorrect Choices: A: Risk for Injury - Focuses on self-injury, not directed towards others. B: Risk for Self-Mutilation - Similar to choice A, does not address potential harm towards others. D: Risk for Delayed Development - Not relevant to the current situation of altered thought processes and combative behavior.
Question 2 of 5
A 73-year-old man was diagnosed with a serious mental illness at age 20. Subsequently, he was frequently hospitalized. Two years ago, he was transferred to a group home. When considering the effects of institutionalization, which behavior demonstrates adaptation to the new environment?
Correct Answer: C
Rationale: The correct answer is C: Makes himself lunch when he is hungry. This behavior demonstrates adaptation to the new environment as it shows independence and self-care skills. Choosing to prepare a meal when hungry indicates the individual is adjusting to living in the group home by taking care of his basic needs. Options A, B, and D are not necessarily indicative of adaptation to the new environment as they could be influenced by external factors or personal preferences without necessarily reflecting effective adjustment to the group home setting.
Question 3 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this time, vital patient information is transferred between nurses, making it crucial to be alert to communication errors. Patient safety relies on accurate and clear communication. Other choices (B, C, D) involve important communication opportunities, but the handover of information during shift change is when critical details can be missed or misunderstood, leading to potential harm. It is essential for nurses to focus on effective communication during this transition to ensure continuity of care and patient safety.
Question 4 of 5
Graciela is a sixty-three-year-old woman who recently became the primary caregiver for her husband who had a stroke. She tells her husband's nurse that she has been feeling lonely and sad lately and that none of her friends seem to understand what she is going through. What community resource would best benefit Graciela?
Correct Answer: D
Rationale: The correct answer is D: a support group for adult caregivers. Graciela is experiencing feelings of loneliness and sadness due to her new role as a caregiver for her husband. A support group for adult caregivers would provide her with a community of individuals who are going through similar experiences, offering emotional support, understanding, and coping strategies. This resource can help Graciela feel less isolated and more supported in her caregiving journey. Choice A (the local food pantry) does not address Graciela's emotional needs and is not directly related to her situation as a caregiver. Choice B (a rideshare service) is focused on transportation to church and does not address Graciela's feelings of loneliness and sadness. Choice C (a social worker for subsidized housing) does not specifically address Graciela's emotional well-being and may not provide the necessary support for her current situation as a caregiver.
Question 5 of 5
A couple is concerned that the husband's father may be developing depression. In questioning the couple, which of the following statements would support their concern?
Correct Answer: C
Rationale: Step 1: The correct answer is C because it indicates a prolonged period of over 2 months of persistent symptoms such as crying, inability to eat or sleep. Step 2: This prolonged duration of symptoms is indicative of a potential depressive episode. Step 3: The inability to eat or sleep are common symptoms of depression. Step 4: This statement highlights a significant change in the father's behavior following the mother's death, suggesting a possible depressive disorder. Summary: Choice A: The duration of symptoms is not as prolonged as in choice C. Choice B: While agitation and anxiety can be symptoms of depression, they are not as specific or severe as the symptoms in choice C. Choice D: The timeframe of symptoms mentioned here is not as long as in choice C, making it less concerning for depression.