ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
Clinical pathways are used in managed care settings to
Correct Answer: D
Rationale: The correct answer is D. Clinical pathways in managed care settings aim to streamline the care process and reduce costs by standardizing care, improving efficiency, and promoting evidence-based practices. This helps in achieving better outcomes and cost-effective care delivery. A, B, and C are incorrect because clinical pathways do not specifically focus on stabilizing aggressive patients, identifying obstacles to care, or relieving nurses of planning responsibilities. These functions may be part of the overall care process but are not the primary purpose of implementing clinical pathways in managed care settings.
Question 2 of 5
A patient has a history of impulsively acting-out anger by striking others. Select the most appropriate intervention for avoiding similar incidents.
Correct Answer: B
Rationale: The correct answer is B because helping the patient identify incidents that trigger impulsive anger addresses the root cause of the behavior. By understanding triggers, the patient can learn to anticipate and manage their anger more effectively. This intervention promotes self-awareness and empowers the patient to develop coping strategies. Choice A is incorrect because herbal preparations may not address the underlying causes of the impulsive anger. Choice C is inappropriate as using restraint and seclusion should be a last resort and not the primary intervention. Choice D is not as effective as helping the patient identify triggers, as one-on-one supervision does not necessarily address the root cause of the behavior.
Question 3 of 5
A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
Correct Answer: C
Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.
Question 4 of 5
A patient has been prescribed clozapine for treatment of schizophrenia. Which of the following would the nurse include in the teaching plan for this patient and family?
Correct Answer: D
Rationale: The correct answer is D: "You may experience noticeable weight gain while taking this medication." This is because weight gain is a common side effect of clozapine. Patients and families should be informed about this to monitor and manage weight changes. Choices A, B, and C are incorrect because hypertension, breast engorgement, and dermatitis are not typically associated with clozapine use. It is important to focus on the most relevant and common side effects when educating patients and families.
Question 5 of 5
A nurse is providing care to several chronically ill children. Which of the following would the nurse identify as having the greatest risk for developing a psychiatric problem?
Correct Answer: B
Rationale: The correct answer is B: 5-year-old with cerebral palsy. Children with cerebral palsy often face challenges in mobility, communication, and social interactions, which can contribute to the development of psychiatric problems. The physical limitations and the impact on daily activities can lead to feelings of frustration, isolation, and low self-esteem, increasing the risk of psychiatric issues. The other choices (A, C, D) do not inherently pose the same level of risk for developing psychiatric problems as cerebral palsy. Children with diabetes mellitus (A) can manage their condition with proper care, children with chronic renal disease (C) may face physical health challenges but not necessarily psychiatric problems, and a heart murmur (D) is a physical condition that typically does not directly affect mental health.