ATI RN
ATI Mental Health Practice A 2023 Questions
Question 1 of 5
A welder who recently lost his leg in a work-related accident is being admitted to an inpatient psychiatric unit. The client states,"I'm worried because I can't support my family anymore!" Which nursing diagnosis is most reflective of this client's presenting problem?
Correct Answer: B
Rationale: The correct answer is B: Ineffective role performance R/T loss of job. This nursing diagnosis is the most reflective of the client's presenting problem because the client is expressing worry about not being able to support his family anymore due to losing his job as a welder. This directly relates to a disruption in his ability to fulfill his role as the provider for his family. A: Ineffective coping R/T poor self-esteem is incorrect because the client's primary concern is related to financial support, not self-esteem. C: Impaired social interaction R/T altered body image is incorrect as the client's worry is about providing for his family, not about altered body image affecting social interactions. D: Knowledge deficit R/T wound and skin care is incorrect as the client's main concern is about financial support, not a lack of knowledge about wound and skin care.
Question 2 of 5
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.
Correct Answer: C
Rationale: The correct action for the case manager is to arrange a temporary place for the patient to stay until new housing can be arranged. This is the most appropriate response because it addresses the immediate need of the patient for housing stability. By providing temporary accommodation, it ensures the patient's safety and well-being while allowing time to find a more permanent housing solution. Postponing discharge (Choice A) could lead to prolonged hospitalization, increasing healthcare costs unnecessarily. Contacting the landlord (Choice B) may not directly address the patient's housing needs and could potentially escalate the situation. Determining the genuineness of the adverse medication reaction based on the patient's housing situation (Choice D) is not relevant to addressing the patient's immediate housing needs and may undermine the patient's care. In summary, Choice C is the best course of action as it prioritizes the patient's immediate safety and well-being while working towards a more permanent housing solution.
Question 3 of 5
A nurse explains to the family of a mentally ill patient how a nurse–patient relationship differs from social relationships. Which is the best explanation?
Correct Answer: A
Rationale: The correct answer is A because it highlights the key difference in a therapeutic nurse-patient relationship: the focus on the patient's needs and active participation in problem-solving. The nurse facilitates discussion but empowers the patient to make decisions and implement solutions, promoting autonomy and self-efficacy. Choice B is incorrect because it suggests a more equal exchange of advice and implementation of solutions, which can blur professional boundaries and hinder the patient's growth. Choice C is incorrect as it emphasizes socialization and meeting mutual needs, which are more characteristic of social relationships rather than therapeutic ones focused on the patient's mental health needs. Choice D is incorrect because it describes a partnership focused on mutual growth and satisfaction, which may not always align with the therapeutic goals of addressing the patient's mental health issues effectively.
Question 4 of 5
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
Correct Answer: C
Rationale: The correct answer is C: A wish for revenge. This response poses the greatest barrier to the nurse's ability to provide therapeutic care because it indicates unresolved anger and desire for retaliation. This can lead to compromised judgment, emotional distress, and potential ethical issues in patient care. Startle reactions, difficulty sleeping, and preoccupation with the incident are common reactions to trauma but do not necessarily impede the nurse's ability to provide therapeutic care as significantly as a wish for revenge. It is crucial for the nurse to address these feelings through appropriate support and coping mechanisms to prevent negative impacts on patient care.
Question 5 of 5
The nurse is employed by a long-term residential treatment center that provides care to a variety of patients with chronic mental disorders. Which role would the nurse primarily assume when working with these patients?
Correct Answer: D
Rationale: The correct answer is D: Educator. In a long-term residential treatment center for patients with chronic mental disorders, the nurse primarily assumes the role of an educator. The nurse educates patients about their conditions, treatment plans, medications, coping strategies, and self-care techniques. This helps empower patients to actively participate in their own care and improve their overall well-being. Explanation for why the other choices are incorrect: A: Therapist - While nurses may provide therapeutic communication and support, their primary focus is not to provide therapy which is typically done by mental health professionals such as psychologists or counselors. B: Medication administrator - While nurses do administer medications, it is not their primary role in working with patients with chronic mental disorders. C: Mediator - While nurses may help facilitate communication and resolve conflicts, mediating is not their primary role in providing care to patients with chronic mental disorders.