ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
A patient has threatened to kill his wife, and it is not anticipated that this crisis will resolve itself. The patient is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining to the family about this plan, the nurse would identify which of the following as the focus of care?
Correct Answer: C
Rationale: The correct answer is C: Acute symptom stabilization. In this situation, the main focus of care is to address the immediate threat of harm to the patient's wife by stabilizing the patient's acute symptoms. This involves ensuring the patient's safety and the safety of others through interventions such as medication management and behavioral interventions. Long-term therapy (choice A) would not be the immediate priority, as the focus is on managing the current crisis. Rehabilitative services (choice B) focus on long-term recovery and functioning, which is not the primary goal at this stage. 24-hour supervision (choice D) may be necessary as part of the care plan, but it is not the primary focus of care in this scenario.
Question 2 of 5
A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?
Correct Answer: C
Rationale: The correct answer is C: Family development. The Calgary Family Model focuses on understanding how families develop and change over time. It emphasizes the importance of recognizing different stages of family development, such as forming, norming, storming, and performing. By understanding these stages, nurses can provide more effective care tailored to the family's specific needs. A: Differentiation of self is a concept from Bowen's Family Systems Theory, not the Calgary Family Model. B: Sibling position is a concept from Adlerian Family Therapy, not the Calgary Family Model. D: Subsystems refer to the different components within a family system, but it is not the primary focus of the Calgary Family Model, which is on family development.
Question 3 of 5
The nurse is caring for an older patient in a residential care facility. The patient has been extremely irritable the entire day. When modifying the patient's plan of care, which of the following would be an appropriate snack to offer the patient to decrease the irritability?
Correct Answer: D
Rationale: The correct answer is D: Glass of milk. Milk contains tryptophan, an amino acid that helps in the production of serotonin, a neurotransmitter that contributes to mood regulation. Offering the patient a glass of milk can help increase serotonin levels, potentially decreasing irritability. A: Chocolate candy bar is high in sugar and may lead to a spike in blood sugar levels, followed by a crash, which can worsen irritability. B: Raisins are a source of natural sugars but lack the necessary nutrients to help regulate mood. C: Granola bar may contain added sugars and lack the specific components like tryptophan found in milk to help improve mood.
Question 4 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 5 of 5
The head nurse in the ED has received word that a major fire in a high-rise office tower will result in many injured persons being brought to the hospital within the next few minutes. The head nurse tells the staff, 'You will need to assess for acute stress reactions as well as treating physical problems.' Which patient is exhibiting symptoms characteristic of acute stress reaction?
Correct Answer: B
Rationale: The correct answer is B because the female reporting still hearing her daughter's pleas for help is exhibiting symptoms characteristic of acute stress reaction, a common response to traumatic events like a major fire. This symptom indicates a re-experiencing of the traumatic event, known as intrusion, which is a key feature of acute stress reactions. This can include vivid memories, flashbacks, or hearing sounds related to the traumatic event. Choices A, C, and D do not align with acute stress reactions. A male with mood swings between mania and depression (Choice A) is more likely experiencing bipolar disorder. A male repeating 'I don't understand what's going on?' (Choice C) may indicate confusion or disorientation rather than acute stress reaction. A female rocking her young son and repeating 'it will be okay' (Choice D) may be demonstrating a coping mechanism rather than a symptom of acute stress reaction.