ATI RN
RN Mental Health 2023 ATI Proctored Questions
Question 1 of 5
After teaching a group of students about protective factors for mental illness, the instructor determines that the teaching was successful when the students identify which of the following?
Correct Answer: D
Rationale: The correct answer is D: Social support. Social support is a well-established protective factor for mental illness as it provides individuals with a network of resources, emotional support, and coping strategies. Having a strong social support system can help individuals better manage stress, improve self-esteem, and reduce feelings of isolation. A, B, and C are incorrect choices. Unemployment (A) is a risk factor for mental illness, not a protective factor. Younger age (B) is not necessarily a protective factor, as mental illness can affect individuals of all ages. Single status (C) can be a risk or protective factor depending on the individual's social support system.
Question 2 of 5
There is conflict surrounding the dying experience in modern medicine. The medical model of treatment in the United States has traditionally been focused on the prolongation of life. What intrinsic factor plays into this medical model?
Correct Answer: B
Rationale: The correct answer is B: Medicare is a fee-for-service model. In the United States, the fee-for-service model incentivizes healthcare providers to perform more procedures and tests to generate more revenue. This directly contributes to the focus on prolonging life rather than quality end-of-life care. Healthcare workers' intentions (A) and ethical considerations (D) may vary, and palliative care costs (C) are not the primary intrinsic factor shaping the medical model.
Question 3 of 5
The nurse is preparing to interview a 6-year-old girl and her mother in an outpatient psychiatric setting. To establish a treatment alliance with the child, the nurse should:
Correct Answer: C
Rationale: Rationale: Option C is correct as it demonstrates empathy and acknowledges the child's emotions, helping to establish trust and a therapeutic alliance. By recognizing the child's potential fear, the nurse shows understanding and provides reassurance. This approach creates a safe environment for the child to open up and build rapport with the nurse. Summary: A: Incorrect. Sharing personal information might not be relevant or comforting to the child, and it does not focus on the child's feelings. B: Incorrect. Standing and looking down can be intimidating and may not promote a sense of safety and trust in the child. D: Incorrect. Asking to interview the child alone without considering the child's comfort and feelings may lead to distrust and hinder the therapeutic relationship.
Question 4 of 5
The nurse is caring for a group of hospitalized patients with various psychiatric diagnoses. The nurse identifies which patient as having the greatest risk for a suicide attempt?
Correct Answer: C
Rationale: The correct answer is C: Man with major depressive disorder. Patients with major depressive disorder have a higher risk of suicide due to the intense feelings of hopelessness and despair associated with the condition. Individuals with depression may experience suicidal ideation and have a higher likelihood of attempting suicide. Bipolar I disorder (A) may also present a risk, but major depressive disorder has a more consistent association with suicide. Acute stress disorder (B) typically does not have as direct a link to suicide as major depressive disorder. Somatoform disorder (D) is characterized by physical symptoms without a clear medical explanation and is not specifically linked to an increased risk of suicide.
Question 5 of 5
During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks the patient, 'How would your life be different?' Which type of question is the therapist using?
Correct Answer: B
Rationale: The correct answer is B: Miracle question. This question is used to help clients envision a future where their problems have miraculously disappeared, allowing them to explore how their life would be different without those issues. It encourages clients to imagine a positive change and helps them identify their desired outcomes. A: Exception question focuses on times when the problem did not occur. C: Relationship question explores how relationships may be impacting the issue. D: Scaling question involves rating progress or motivation levels, not imagining a problem-free scenario.