ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 5
A psychiatric nursing instructor is trying to explain to a group of students how clients identified as guilty but mentally ill (GBMI) and not guilty by reason of insanity (NGRI) differ. Which of the following would be most appropriate for the instructor to include in the discussion?
Correct Answer: D
Rationale: The correct answer is D because NGRI clients are treated in a hospital setting due to their mental illness, and their discharge is determined by the courts based on their mental state at that time. GBMI clients, on the other hand, are usually treated in a hospital setting but their discharge is typically handled through the correctional system, not the courts. Therefore, D is the most appropriate choice as it accurately distinguishes the discharge process for NGRI clients from GBMI clients. Choices A, B, and C are incorrect because they do not accurately depict the differences in treatment and discharge processes between NGRI and GBMI clients.
Question 2 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication. Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.
Question 3 of 5
Darnell is an 84-year-old widower who has lived alone since his wife died 6 years ago. A neighbor called Darnell's son to tell him that Darnell was trying to start his car from the passenger's side. He became angry and aggressive when the car would not start. After a medical assessment, Darnell was diagnosed with a major neurocognitive disorder. The nurse realized additional family teaching is necessary when Darnell's son states:
Correct Answer: D
Rationale: The correct answer is D. In person-centered care, the individual's preferences, needs, and values should be prioritized to provide tailored care. However, in this scenario, Darnell's son's statement indicates a lack of understanding about the severity and implications of his father's major neurocognitive disorder. This disorder will likely progress, impacting Darnell's ability to live independently. Therefore, the son's belief that his father can continue to live at home with person-centered care is unrealistic and indicates a need for further education. Choices A, B, and C are incorrect because they all reflect accurate statements related to Darnell's diagnosis and situation.
Question 4 of 5
Individuals with severe mental illness (SMI) diagnoses can suffer from ineffective healthcare. Providers may be unaccustomed to working with this population or not comprehend obscure details described by the person seeking medical attention. This hurdle can be overcome by:
Correct Answer: D
Rationale: The correct answer is D: Integrating mental and physical health in one setting. This approach ensures that individuals with SMI receive holistic care addressing both their mental and physical health needs simultaneously. By having mental health professionals collaborate with medical providers in one setting, communication barriers are reduced, leading to more effective treatment. This integrated approach also helps in better coordination of care and ensures that all aspects of the individual's health are considered. Choice A (Seeking medical attention at the emergency department) is incorrect because it does not address the long-term need for integrated care for individuals with SMI. Choice B (Having a community clinic in the area where the SMI live) might help with accessibility but does not guarantee the integration of mental and physical health services. Choice C (Medicating the patient before a medical examination) is inappropriate as it does not address the underlying issue of healthcare disparity for individuals with SMI.
Question 5 of 5
What term refers to the level of choice, influence, and control that users of mental health services can exercise over events in their lives?
Correct Answer: B
Rationale: The correct answer is B: Empowerment. Empowerment refers to the level of choice, influence, and control that users of mental health services can exercise over events in their lives. It involves empowering individuals to make decisions and take actions that enhance their well-being. Emotional regulation (A) refers to the ability to manage and control emotions. Mutual negotiation (C) involves reaching agreements through discussion and compromise. Self-determination (D) is the right of individuals to make choices about their own lives. However, empowerment specifically focuses on giving individuals the ability to exert influence and control over their circumstances, making it the most appropriate term in this context.