ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
A patient with a psychiatric disorder is considering joining a clubhouse with other patients who have mental disorders. The patient asks the nurse to explain what services the clubhouses provide. Which response by the nurse would be most accurate?
Correct Answer: D
Rationale: The correct answer is D because clubhouse programs are known for being primarily run by psychiatric patients with minimal assistance from mental health staff. This model emphasizes empowerment, peer support, and self-help. It promotes a sense of community and belonging among members, allowing individuals to take an active role in their recovery. Choice A is incorrect because clubhouses are not typically open 24 hours a day. They usually operate during standard business hours. Choice B is incorrect because clubhouses are not run entirely by psychiatric mental health nurses. While mental health staff may be present, the focus is on peer support and collaboration among members. Choice C is incorrect because the primary focus of clubhouses is not on providing ongoing intensive psychotherapy. Instead, they emphasize socialization, skill-building, and vocational support in a non-clinical setting.
Question 2 of 5
The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother complains that the children are constantly fighting and have intense sibling rivalry. Which statement would be most appropriate when advising the parents about how to respond to the sibling rivalry?
Correct Answer: A
Rationale: Step 1: Acknowledge individuality - By reacting to each child as unique individuals with their own talents and interests, parents can promote a sense of identity and reduce competition. Step 2: Encouraging positive interactions - Fostering cooperation rather than simply demanding it can help improve sibling relationships. Step 3: Address underlying issues - By focusing on individual needs and interests, parents can address root causes of rivalry rather than just surface behaviors. Step 4: Promoting healthy relationships - Encouraging children to appreciate each other's strengths and differences can lead to a more harmonious sibling dynamic. Summary: Choice A is correct as it addresses the core issues of sibling rivalry by promoting individuality and positive interactions. Choices B, C, and D are incorrect as they do not address the underlying causes of rivalry, promote unhealthy dynamics, or offer effective solutions.
Question 3 of 5
The nurse is working with a potentially violent patient in a community clinic. Which of the following would the nurse implement to minimize personal risk?
Correct Answer: B
Rationale: The correct answer is B: Staying close to a door. By staying close to a door, the nurse can have a quick exit strategy in case the situation escalates. This allows the nurse to maintain a safe distance from the potentially violent patient and increases the chances of a swift escape if needed. Using protective devices (A) can be helpful but may not always be accessible in a community clinic setting. Keeping the door closed for privacy (C) may limit escape routes and hinder quick exit. Wearing inexpensive jewelry to distract the patient (D) is not a safe or effective strategy in managing a potentially violent situation.
Question 4 of 5
Assessment of a client with schizophrenia reveals that he is hearing voices that tell him that people are staring at him and illusions. When developing the plan of care for this client, which nursing diagnosis would be most appropriate?
Correct Answer: C
Rationale: The most appropriate nursing diagnosis for a client with schizophrenia experiencing auditory hallucinations and illusions is "Disturbed sensory perception" (C). This diagnosis reflects the client's altered sensory experiences, such as hearing voices and experiencing illusions. It focuses on the client's perception of reality, which is impaired in this case. Choice A (Disturbed thought processes) is incorrect because it primarily focuses on cognitive processes rather than sensory experiences. Choice B (Risk for self-directed violence) is not the most appropriate because the client's symptoms do not directly indicate a risk of self-harm. Choice D (Ineffective coping) is also not as relevant in this case as the primary issue is related to sensory perception rather than coping mechanisms. Therefore, the correct diagnosis is "Disturbed sensory perception" as it addresses the client's altered sensory experiences.
Question 5 of 5
A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A. Self-injurious behavior in individuals with borderline personality disorder is often a maladaptive coping mechanism used to relieve intense emotional distress or stress. This behavior is a way for the individual to externalize internal pain and gain a sense of control. It is important for the nurse to provide accurate information to the client's sister. Choice B is incorrect because self-injurious behavior in BPD is not typically used to calm or sedate individuals. Choice C is incorrect because self-injury is not usually a mechanism to avoid delusional thinking in BPD. Choice D is incorrect because while mood swings are common in BPD, self-mutilation is not typically used to slow them down.