ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. Christopher's ability to form positive relationships, excel in school, and maintain high academic performance despite experiencing neglect indicates resilience. Resilience refers to the ability to adapt positively in the face of adversity. His behavior shows that he is able to overcome his challenging circumstances and thrive. Temperament (A) refers to inherent traits that influence behavior, genetic factors (B) may play a role but do not fully explain his response, and the paradoxical effects of neglect (D) are not the strongest explanation in this context.
Question 2 of 5
On an inpatient psychiatric unit, the nurse explores feelings about potentially working with a woman whose husband has abused her and her children physically and verbally. This interaction would occur in which phase of the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A: Pre-interaction phase. In this phase, the nurse is preparing to meet the client, gathering information, and examining personal feelings and biases. By exploring feelings about working with an abused woman, the nurse is engaging in self-reflection and preparing to approach the interaction with awareness and sensitivity. The other choices are incorrect because in the orientation phase the nurse establishes rapport, in the working phase interventions are implemented, and in the termination phase the nurse evaluates outcomes and prepares for closure, none of which align with exploring personal feelings before meeting the client.
Question 3 of 5
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assess AP's qualifications: Ensures competency and safety. 2. Delegation based on competence: AP must be capable. 3. Legal and ethical responsibility: Nurse is accountable for delegation. 4. Ensures client safety: Properly trained AP will perform test accurately. Summary: B: Nurse should not perform the test; delegating responsibility is key. C: Asking about medication is not within scope for blood glucose testing. D: Checking prior results is not necessary for performing a current test.
Question 4 of 5
The nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal behavior. In delusional disorder, individuals typically exhibit normal behavior aside from their fixed false beliefs (delusions). Delusions are the key characteristic of this disorder, while cognitive impairment (A) is not a defining feature. Labile affect (C) refers to unstable emotions, which are not typically seen in delusional disorder. Evidence of motor symptoms (D) is more indicative of neurological conditions rather than delusional disorder. Hence, the nurse can expect the client to display normal behavior during the interview.
Question 5 of 5
A patient receiving an antipsychotic agent develops acute extrapyramidal symptoms. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The most appropriate response by the nurse is C: "These are the results of the drug that can be treated; your illness is not getting worse." This response acknowledges the side effects of the antipsychotic medication (extrapyramidal symptoms) while reassuring the patient that these symptoms can be managed without indicating a worsening of their condition. It demonstrates empathy, provides accurate information, and offers hope for improvement. Explanation of other choices: A: This response is dismissive and invalidates the patient's experience, which can be harmful to the therapeutic relationship. B: Allergy is not the cause of extrapyramidal symptoms, so changing medication based on this assumption is incorrect and may lead to unnecessary changes. D: Blaming sunlight for the symptoms is inaccurate and does not address the underlying issue of medication side effects, potentially causing confusion for the patient.