ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a cognitive restructuring process. The patient challenges a negative thought ("everyone at school hates me") with evidence to the contrary ("Most people like me and I have a friend named Todd"). This shows progress in identifying and changing maladaptive thought patterns. Choice A indicates aggression, choice C shows difficulty in implementing coping skills, and choice D suggests impulsivity without addressing underlying issues.
Question 2 of 5
Some cultures have lower rates of diagnosed conduct disorders than observed in Western societies. The lower rate of incidence may be contributed to:
Correct Answer: C
Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder. Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders. Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.
Question 3 of 5
As part of an interdisciplinary team, a nurse is assisting with a patient assessment to determine the most appropriate setting for treatment. The team decides that an acute ambulatory setting would be most appropriate. Which of the following would support the team's decision?
Correct Answer: C
Rationale: The correct answer is C. This choice supports the decision for an acute ambulatory setting because it indicates that the patient is unable to contract for treatment beyond initial care, suggesting they require immediate and continuous support. A: This choice does not directly support the need for an acute ambulatory setting, as the severity of symptoms alone may not dictate the setting. B: Marked impairment in daily life is concerning but does not necessarily indicate the need for an acute ambulatory setting specifically. D: A limited ability to seek support is important but may not be the primary factor in determining the setting for treatment.
Question 4 of 5
On an inpatient psychiatric unit, the goals of therapy have been met, but the client cries and states,"I have to keep coming back to therapy to handle my anger better." This interaction occurs in which phase of the nurse-client relationship?
Correct Answer: D
Rationale: The correct answer is D: Termination phase. In this phase, the goals of therapy have been met, and the client is reflecting on their progress and expressing their feelings about ending therapy. The client's statement about needing to keep coming back indicates that they are aware of the progress made and are preparing to end the therapeutic relationship. A: Pre-interaction phase occurs before the nurse-client relationship is established. B: Orientation phase is when the nurse and client establish rapport and set goals. C: Working phase is when the therapeutic work is being done to achieve goals. Therefore, the client's statement falls in the Termination phase as they are acknowledging the progress made and preparing to end therapy.
Question 5 of 5
Which assessment question regarding a patient's report of pain demonstrates the nurse's attention to the principles of holistic nursing care?
Correct Answer: D
Rationale: The correct answer is D because it addresses the patient's physical, emotional, and social well-being, aligning with holistic nursing care principles. It shows the nurse's consideration of the pain's impact on the patient's daily life. Options A, B, and C focus on specific aspects but do not encompass the holistic approach. Option A focuses only on the pain's timeline, option B on herbal supplements, and option C on familial history, neglecting the patient's overall well-being.