ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
During an interview with a patient, which question asked of an older adult is associated with the Patient Self-Determination Act?
Correct Answer: B
Rationale: The correct answer is B because the Patient Self-Determination Act emphasizes the importance of discussing end-of-life choices with family or a designated surrogate. This question aligns with the act's goal of promoting patient autonomy and ensuring that patients have a say in their healthcare decisions. Choices A, C, and D are incorrect because they do not directly address the act's focus on end-of-life planning and decision-making with family or a designated surrogate. A focuses on access to medical information, C on informed decision-making about treatment, and D on helping the patient feel comfortable, which are important but not specifically related to the Patient Self-Determination Act.
Question 2 of 5
What personality disorder is most likely to be associated with illegal activity?
Correct Answer: A
Rationale: The correct answer is A: antisocial personality disorder is most likely to be associated with illegal activity. Individuals with this disorder often exhibit a disregard for the rights of others, impulsivity, and a lack of remorse, making them prone to engaging in criminal behavior. Borderline personality disorder (B) is characterized by unstable relationships and emotions, but not necessarily criminal behavior. Dependent personality disorder (C) involves an excessive need to be taken care of, and schizoid personality disorder (D) is characterized by social detachment, both of which are not typically associated with illegal activity.
Question 3 of 5
On an inpatient psychiatric unit, a client diagnosed with borderline personality disorder is challenging other clients and splitting staff. Which response by the nurse reflects the nurse's role of milieu manager?
Correct Answer: A
Rationale: Correct Answer: A Rationale: Setting strict limits and communicating them to all staff members is the most appropriate response as a milieu manager. In an inpatient psychiatric unit, creating a structured and consistent environment is crucial for managing challenging behaviors, such as those exhibited by a client with borderline personality disorder. By setting clear boundaries and ensuring all staff members are aware of them, the nurse establishes a safe and therapeutic milieu for all clients. This approach helps maintain a stable and supportive setting, promoting positive interactions among clients and staff. Summary: - Choice B (Using role-play): While role-play can be a valuable therapeutic technique, it may not directly address the immediate need to manage challenging behaviors in the milieu. - Choice C (Seeking orders for forced medications): This is not the appropriate course of action as forcing medications should be a last resort and should only be considered in situations where the client is at imminent risk of harm. - Choice D (Holding a group session on relationship skills): While group sessions
Question 4 of 5
A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?
Correct Answer: D
Rationale: The correct answer is D: The client has respect for members of the health-care team. Rationale: 1. In some cultures, making direct eye contact with authority figures, like healthcare professionals, can be seen as a sign of respect. 2. By making eye contact only with the family, the client might be showing deference and respect towards the healthcare team. 3. This behavior suggests that the client values the input and presence of the healthcare team in the decision-making process. 4. Choices A, B, and C do not align with the behavior described and are not supported by the cultural perspective of respect and communication.
Question 5 of 5
A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for 5 minutes and later with the elevator door closed for 5 minutes. Which technique has the therapist used?
Correct Answer: B
Rationale: The correct answer is B: Systematic desensitization. This technique involves exposing the patient gradually to the feared stimulus (elevator) in a controlled manner to reduce fear response. By starting with riding an escalator and then gradually progressing to standing in an elevator with the door open and closed, the therapist is helping the patient build up tolerance and reduce fear through systematic exposure. A: Classic psychoanalytic therapy focuses on exploring unconscious conflicts and childhood experiences, not directly addressing phobias through systematic exposure. C: Rational emotive therapy involves challenging irrational beliefs and is not focused on exposure to feared stimuli. D: Biofeedback involves monitoring and controlling physiological responses, not directly addressing phobias through exposure.