ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
A patient with multi-infarct dementia lashes out and kicks at people who walk past in the hall of a skilled nursing facility. Intervention by the nurse should begin by
Correct Answer: C
Rationale: The correct answer is C because reassuring the patient that the environment is safe can help reduce their feelings of anxiety or fear, which may be causing the aggressive behavior. This approach focuses on creating a calming and supportive atmosphere, which is essential in managing challenging behaviors in dementia patients. A: Gently touching the patient's arm may escalate the situation and provoke a negative response. B: Asking the patient 'What do you need?' may not address the underlying cause of the behavior and could be perceived as confrontational. D: Directing the patient to cease the behavior may be seen as threatening and could lead to further aggression.
Question 2 of 5
A nurse in an inpatient setting formulates an outcome for a client who has a nursing diagnosis of altered social interaction R/T paranoid thinking AEB aggressive behaviors. Which initial, correctly written outcome would the nurse expect the client to achieve?
Correct Answer: C
Rationale: Rationale: C is correct because it focuses on addressing the nursing diagnosis of altered social interaction due to paranoid thinking. Listing triggers to angry outbursts shows an understanding of personal patterns and promotes self-awareness. This outcome aligns with the client's current state and is measurable within a specific timeframe. Summary of other choices: A: This choice is incorrect as it does not address the specific issue of paranoid thinking and aggressive behaviors. B: While adaptive coping strategies are important, this choice does not directly target the altered social interaction aspect of the nursing diagnosis. D: Walking away from confrontation may be a coping strategy, but it does not address the underlying issue of paranoid thinking and altered social interaction.
Question 3 of 5
The nurse is assessing a client who is diagnosed with borderline personality disorder. Which client statement indicates the client is at risk for self-injurious behavior?
Correct Answer: D
Rationale: The correct answer is D because impulsivity is a common characteristic of borderline personality disorder and can lead to self-injurious behaviors. The statement "It is almost as if as soon as I think of doing something, I immediately do it" indicates a lack of impulse control and potential for engaging in harmful behaviors without considering consequences. A: This statement expresses feelings of depression but does not directly indicate self-injurious behavior risk. B: This statement suggests a lack of autonomy but does not directly indicate self-injurious behavior risk. C: This statement describes dissociation, which is common in borderline personality disorder but does not directly indicate self-injurious behavior risk. In summary, choice D is the correct answer as it directly implies impulsivity and potential for self-injurious behavior, while the other choices do not clearly indicate this risk.
Question 4 of 5
A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
Correct Answer: D
Rationale: Step 1: Identify the conflicting viewpoints - The patient believes in the right to die, while the nurse opposes this view. Step 2: Analyze the underlying values - The patient prioritizes autonomy, while the nurse emphasizes the sanctity of life. Step 3: Evaluate the correctness of each viewpoint - Both perspectives have validity based on individual values and beliefs. Step 4: Determine the best analysis - Choice D, "Differing values are reflected in the two statements," is correct as it acknowledges the clash of values without dismissing either perspective.
Question 5 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this time, vital patient information is transferred between nurses, making it crucial to be alert to communication errors. Patient safety relies on accurate and clear communication. Other choices (B, C, D) involve important communication opportunities, but the handover of information during shift change is when critical details can be missed or misunderstood, leading to potential harm. It is essential for nurses to focus on effective communication during this transition to ensure continuity of care and patient safety.