ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
A patient says to the nurse, "I dreamed I was stone When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?
Correct Answer: D
Rationale: The correct response is D because it directly addresses the ambiguity in the patient's statement by seeking clarification on the term "stoned." By asking for an example, the nurse can better understand the specific content of the dream and its emotional impact on the patient. This open-ended question encourages the patient to elaborate and express their feelings, leading to a more meaningful conversation and a deeper understanding of the patient's concerns. Choices A, B, and C are incorrect because they do not directly address the ambiguity in the patient's statement or seek clarification on the term "stoned." Choice A assumes the patient was uncomfortable with the dream content, choice B only relates the nurse's experience without addressing the patient's specific situation, and choice C focuses on the quality of sleep rather than the content of the dream.
Question 2 of 5
Which statement made by the patient demonstrates an understanding of the foundational principle of integrative care?
Correct Answer: A
Rationale: Step 1: Understanding the foundational principle of integrative care is recognizing the body's innate ability to heal itself. Step 2: Choice A acknowledges this principle by stating that the body can heal itself with the right tools. Step 3: This aligns with the holistic approach of integrative care, focusing on empowering the body's natural healing processes. Step 4: Other choices do not emphasize the foundational principle: - B focuses on the types of care received, not the core principle. - C mentions the source of knowledge, not the principle of self-healing. - D prioritizes curing a specific illness, not the broader concept of the body's healing capacity.
Question 3 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 4 of 5
On an inpatient psychiatric unit, a client states,"I want to learn better ways to handle my anger." This interaction is most likely to occur in which phase of the nurse-client relationship?
Correct Answer: C
Rationale: In the working phase, clients actively engage in exploring and addressing their issues, such as learning coping strategies for anger management. This phase focuses on goal setting, problem-solving, and skill development. The nurse-client relationship has progressed beyond initial introductions (orientation phase) and rapport-building (pre-interaction phase). The termination phase is when the relationship concludes after achieving goals. Thus, the correct answer is C as it aligns with the specific client goal of anger management intervention.
Question 5 of 5
Which event experienced in the patient's childhood increases the risk of the development of behaviors associated with intermittent explosive disorder?
Correct Answer: B
Rationale: The correct answer is B: Physically abused from ages 3 to 10. Childhood physical abuse can lead to trauma, emotional dysregulation, and aggression, increasing the risk of developing behaviors associated with intermittent explosive disorder (IED). This chronic exposure to violence can impact brain development, leading to difficulties in impulse control and emotional regulation, key features of IED. Orphaned at age 4 (choice A) may lead to attachment issues but is not directly linked to IED. Being born with a chronic congenital disorder (choice C) is a medical condition and not a psychological factor contributing to IED. Having a parent with obsessive-compulsive disorder (choice D) may influence anxiety levels but is not a direct risk factor for IED.