ATI RN
ATI Final Mental Health Questions
Question 1 of 5
A patient tells the nurse, "I don't think I'll ever get out of here." Select the nurse's most therapeutic response.
Correct Answer: C
Rationale: The correct answer is C because it reflects active listening and empathy. The nurse acknowledges the patient's feelings and opens the door for further discussion. Choice A dismisses the patient's feelings and may come off as insensitive. Choice B provides positive reinforcement but overlooks the patient's emotional state. Choice D generalizes the patient's feelings without addressing their specific concerns. Overall, choice C encourages the patient to express their thoughts and promotes therapeutic communication.
Question 2 of 5
A psychiatric-mental health nurse is integrating Carl Rogers'theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.
Question 3 of 5
A patient is brought to the emergency department by her brother, who reports that the patient became very agitated and 'started hallucinating.' Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The brother states that the patient is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.
Question 4 of 5
A nurse is developing a plan of care for a family who is experiencing problems related to their child's chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique?
Correct Answer: C
Rationale: Rationale: 1. Bibliotherapy involves using written materials to help individuals understand and cope with emotional issues. 2. In this scenario, having the family read short stories written by parents of children with chronic illnesses can provide emotional support and guidance. 3. Psychoeducation focuses on educating individuals about their condition, not necessarily providing emotional support. 4. Social skills training and assertiveness training focus on developing specific skills, which are not the primary goal in this case.
Question 5 of 5
A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient's response to losing her job?
Correct Answer: D
Rationale: The correct answer is D because it focuses on the patient's past behavior in response to stress, providing insight into her coping strategies. By understanding how she has dealt with stress before, the nurse can anticipate her current response. Choice A is too focused on the cause of job loss, not the patient's emotional response. Choice B is too narrow, not addressing broader coping mechanisms. Choice C is future-oriented, not addressing the patient's current emotional state.