ATI RN
ATI RN Mental Health Online Practice 2023 A Questions
Question 1 of 5
A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. The patient is
Correct Answer: D
Rationale: The correct answer is D because the patient's behavior of being tense, vigilant, pacing, clenching fists, and staring can be indicative of potential aggression. This behavior shows signs of escalating agitation and aggression, which should be addressed promptly for safety. A: Withdrawal typically involves avoiding social interactions and showing disinterest, which does not align with the patient's behavior. B: Working through angry feelings would involve more introspective or expressive behaviors, not outward signs of potential aggression. C: Relaxation strategies would involve more calming and self-soothing behaviors, which are not exhibited by the patient in this scenario.
Question 2 of 5
The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD). Which concept should the nurse incorporate in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C because OCD symptoms typically worsen with stress due to increased anxiety triggering obsessions and compulsions. This understanding is crucial for the family to help manage the condition effectively. Option A is incorrect because thoughts in OCD are intrusive and involuntary. Option B is incorrect as immediate attention may reinforce the symptoms. Option D is incorrect as OCD can respond well to treatment approaches like therapy and medication.
Question 3 of 5
The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient
Correct Answer: D
Rationale: The correct answer is D because the patient is experiencing command auditory hallucinations that pose an imminent threat to themselves or others. This is indicative of acute psychosis requiring immediate psychiatric intervention. Choice A is experiencing common emotional distress and can be managed on an outpatient basis. Choice B has self-inflicted minor harm but does not present an immediate danger. Choice C is likely experiencing side effects of medication and can be managed without urgent inpatient care. In summary, only choice D presents a clear and immediate risk that necessitates admission to the psychiatric unit.
Question 4 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B because it reflects active listening and empathy by summarizing the patient's statement. This statement shows the nurse's attempt to understand the patient's perspective on life's meaning. Choice A is about the nurse's own thought process, not reflecting the patient's feelings. Choice C shows uncertainty, not reflective listening. Choice D is an observation, not reflective of the patient's emotions or thoughts.
Question 5 of 5
In which situation does a health-care worker have a duty to warn a potential victim?
Correct Answer: D
Rationale: The correct answer is D because when a client makes specific threats toward an identifiable person, there is a duty to warn the potential victim to prevent harm. This duty is based on the principle of duty to protect, which overrides confidentiality in cases of imminent danger. Choices A, B, and C do not necessarily involve direct threats toward a specific individual, so the duty to warn does not apply in those situations. It is important to prioritize the safety of potential victims when making decisions regarding confidentiality and duty to warn.