ATI RN
Mental Health ATI Quizlet Questions
Question 1 of 5
A patient with a history of anger and impulsivity was hospitalized after an accident resulting in multiple injuries. The patient loudly scolds nursing staff, 'I'm in pain all the time but you don't give me medicine until YOU think it's time.' Which nursing intervention would best address this problem?
Correct Answer: B
Rationale: The correct answer is B because switching from prn (as-needed) pain medication to patient-controlled analgesia empowers the patient to manage their pain effectively, addressing the issue of feeling powerless and dependent on nursing staff for pain relief. This intervention also aligns with the patient's impulsivity and need for immediate gratification. Choice A is incorrect because teaching coping strategies may not address the immediate pain relief the patient desires. Choice C is incorrect as it focuses on addressing the behavior without addressing the underlying issue of pain management. Choice D is incorrect because it does not provide a solution to the immediate problem of pain control and may not be relevant to the patient's current behavior.
Question 2 of 5
Nurse Tuan worked with a client three weeks ago to get them set up with a community-based mental health-care treatment plan to help with the client's diagnosis of major depressive disorder. Tuan decides to make a follow-up call to the client to ask them how they're doing. What step in the nursing process does Tuan's action represent?
Correct Answer: B
Rationale: The correct answer is B: evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to the implemented plan of care to determine if the goals were met and if any modifications are needed. In this scenario, Nurse Tuan is following up with the client to assess how they are doing after the community-based mental health-care treatment plan was put in place. This action allows Tuan to evaluate the effectiveness of the plan and make any necessary adjustments. Incorrect Choices: A: Assessment is the step where data is collected and analyzed to identify the client's problems and needs. This step precedes the implementation of the treatment plan. C: Implementation is the step where the nurse puts the plan of care into action. Tuan has already implemented the plan and is now assessing its effectiveness. D: Planning is the step where the nurse develops a comprehensive plan of care based on the assessment data. Tuan has already completed this step by setting up the community-based mental health-care
Question 3 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy. By acknowledging the patient's conflicting nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. This approach helps build rapport and trust. A: This response is overly optimistic and dismisses the patient's nonverbal cues, missing an opportunity to address underlying concerns. C: This response jumps to conclusions and may come across as judgmental, potentially shutting down communication. D: This response imposes a judgment on the patient without exploring the underlying reasons for the conflicting behavior, which can be counterproductive.
Question 4 of 5
The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?
Correct Answer: C
Rationale: Rationale: Choice C is correct because borderline personality disorder is believed to be associated with frontal lobe dysfunction, impacting emotional regulation and impulsivity. The frontal lobe plays a crucial role in personality development. Choices A, B, and D are incorrect because there isn't conclusive evidence linking the disorder to increased serotonin or decreased dopamine activity, or hormonal imbalances.
Question 5 of 5
The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father's agitation. The nurse determines that the son has understood the nurse's instructions when he states which of the following?
Correct Answer: D
Rationale: The correct answer is D. Simplifying the home environment can reduce agitation in a person with dementia by minimizing distractions and confusion. This approach promotes a calm and safe environment for the father. Restraints (A) are not recommended as they can lead to physical and psychological harm. Placing the father in the bedroom (B) may cause feelings of isolation and worsen agitation. Taking him out shopping (C) may overstimulate and confuse him further, increasing agitation. Simplifying the home environment aligns with best practices for managing dementia-related agitation.