ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
An advanced practice psychiatric nurse is preparing to conduct a support group for psychiatric mental health nurses who have been assaulted by patients. Which of the following would the nurse need to keep in mind with this group?
Correct Answer: A
Rationale: The correct answer is A because nurses in this situation may struggle with conflicting roles of being caregivers and victims, leading to feelings of guilt, self-blame, or inadequacy. This conflict can affect their ability to provide care effectively. Choice B is incorrect as nurses may not always choose to prosecute patients due to various reasons such as fear of retaliation or wanting to maintain a therapeutic relationship. Choice C is incorrect as not all nurses may feel comfortable or able to actively express their feelings about the assaults. Choice D is incorrect as nurses who have been assaulted by patients often experience guilt, shame, or self-blame due to societal stigma or internalized beliefs.
Question 2 of 5
As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: D
Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.
Question 3 of 5
A nurse is obtaining information about a client's sleep patterns and asks him about the total amount of sleep time compared with the amount of time spent in bed. The nurse is assessing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Sleep efficiency. Sleep efficiency is the ratio of total sleep time to time spent in bed, reflecting how effectively the individual is sleeping. This assessment helps the nurse determine the quality of the client's sleep. A: Sleep latency refers to the time it takes for an individual to fall asleep, not the ratio of sleep time to time spent in bed. B: Sleep architecture pertains to the different stages of sleep (such as REM and non-REM sleep), not the ratio of sleep time to time spent in bed. D: Sleep-wake cycle refers to the body's natural circadian rhythm governing sleep and wakefulness, not the ratio of sleep time to time spent in bed.
Question 4 of 5
As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse discusses the client's risk for delirium with his family members. Which of the following would the nurse NOT include as placing the client at increased risk?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. Hypertension is not a risk factor for delirium in the context of a follow-up home visit after surgery. Delirium is commonly associated with factors such as urinary tract infections (A), acute stress (C), and bone fractures (D) in elderly clients. Hypertension, although a serious condition, does not directly contribute to the development of delirium in this scenario. Delirium is often multifactorial, with underlying medical conditions, infections, and stress being key contributors. In this case, the nurse would focus on discussing the client's risk factors such as urinary tract infections, acute stress, and bone fractures with the family members to prevent delirium.
Question 5 of 5
A nurse is discussing follow-up care with a forensic client who is being discharged the following week. The client asks the nurse what problems to expect regarding his follow-up care. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because it addresses the potential challenges the forensic client may face in finding a community provider due to safety and liability concerns. Forensic clients may have a history of legal issues or violence, which can make it difficult to find providers willing to take on their care. This response shows awareness of the unique circumstances of forensic clients. Choice A is incorrect because it dismisses potential difficulties without considering the client's specific situation. Choice B is incorrect as it assumes the client needs to return to the inpatient unit for follow-up care, which may not be the case. Choice C is incorrect as it only mentions waiting lists, not the safety and liability concerns that are more pertinent to forensic clients.