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
The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, 'It's been so difficult taking care of our son. We need a break. But he needs constant supervision.' Which of the following would be appropriate for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Respite residential care. This option allows the parents to take a break from caregiving while ensuring their son receives necessary supervision. Respite care offers temporary relief for caregivers, preventing burnout. Partial hospitalization (A) involves structured treatment during the day, not suitable for caregiver respite. Acute inpatient care (B) is for crisis situations, not for caregiver relief. Intensive outpatient programs (D) require the patient to attend frequent therapy sessions, not giving the parents a break.
Question 3 of 5
A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?
Correct Answer: C
Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.
Question 4 of 5
A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
Correct Answer: B
Rationale: The correct answer is B: Help the family find funding and manpower to patch and repair the roof of their home. This is the highest priority intervention because it addresses the immediate physical safety and well-being of the family. By repairing the roof, the family will be protected from the elements, preventing further health risks and improving their living conditions. The other choices are incorrect: A: Making immunization appointments is important but not the highest priority in this situation as the family's immediate safety and living conditions are compromised. C: Determining educational readiness is not a priority when the family's basic needs such as shelter are not being met. D: Reporting the family for child abuse is not appropriate in this scenario as the family's situation is due to poverty and lack of resources, not intentional neglect.
Question 5 of 5
While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?
Correct Answer: A
Rationale: The most appropriate statement is "This must be scary for you" (A) because it acknowledges the patient's feelings of isolation and anxiety, showing empathy and validation. This helps build rapport and trust with the patient. Choice B is dismissive and minimizes the patient's feelings. Choice C implies the nurse fully understands, which may not be true. Choice D puts the responsibility on the patient to calm down before help is offered, which can escalate the situation.