ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 of 5
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's han Select the correct analysis of the nurse's behavior.
Correct Answer: B
Rationale: The correct answer is B because during the first interview with a grieving parent, it is crucial to be sensitive to the patient's cultural and individual interpretation of touch. By reaching out to take the patient's hand, the nurse may unintentionally make the patient uncomfortable or feel intruded upon. It is important to establish trust and rapport first before physical touch is initiated. This approach respects the patient's boundaries and preferences, promoting a more effective therapeutic relationship. Incorrect answers: A: While empathy and compassion are important, premature physical touch may not always be well-received by the patient. C: Assuming the patient will perceive the gesture as intrusive is a generalization. However, it is important to be cautious and respect the patient's boundaries. D: This answer is not relevant to the scenario provided and does not address the cultural sensitivity and individual interpretation of touch.
Question 2 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Insight-oriented therapy. This type of therapy focuses on exploring the underlying causes of behavior, emotions, and thoughts, which may not be effective for clients with delusional disorder. Clients with delusional disorder often have fixed false beliefs that are not amenable to insight-oriented therapy. B: Psychoeducation is important in helping clients and their families understand the disorder, its symptoms, and treatment options. C: Cognitive therapy helps clients identify and challenge irrational beliefs and thought patterns, which can be beneficial in managing delusions. D: Support therapy provides emotional support and coping strategies for clients, which is crucial in managing symptoms of delusional disorder. In summary, insight-oriented therapy may not be as effective for clients with delusional disorder compared to psychoeducation, cognitive therapy, and support therapy, which are more suitable interventions for this population.
Question 3 of 5
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates respect for the patient's autonomy and builds trust in the nurse-patient relationship. By contacting resources to provide medications without charge, the nurse addresses the patient's financial constraint while honoring their wishes to avoid the hospital. This intervention promotes continuity of care and supports the patient's well-being. Option B is incorrect because it does not address the patient's immediate need for medications and may not align with the patient's preferences. Option C is inappropriate as hospitalization should be a last resort and may not be necessary in this case. Option D is not the best initial intervention as it does not directly address the patient's concerns about being perceived as a traitor.
Question 4 of 5
A psychiatric-mental health nurse is working on a committee that is developing programs that integrate the objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of program would be least appropriate?
Correct Answer: A
Rationale: The correct answer is A: Single substance abuse treatment programs. This is least appropriate because Healthy People 2020 emphasizes integrated programs that address mental health and mental disorders comprehensively. Substance abuse treatment programs, while important, focus on a specific issue and do not address the broader objectives of mental health promotion and disorder prevention. Choices B, C, and D align with Healthy People 2020 by promoting early detection, support for vulnerable populations, and holistic approaches to mental health, respectively.
Question 5 of 5
Opioid use disorder is characterized by:
Correct Answer: C
Rationale: The correct answer is C: Tolerance. Opioid use disorder is characterized by the need for increased amounts of opioids to achieve the desired effect over time, which is known as tolerance. This occurs due to physiological changes in the body. Choices A and B are incorrect as withdrawal symptoms, including pupillary constriction, sedation, and insomnia, are typically seen in opioid use disorder. Choice D is incorrect as individuals with opioid use disorder often require larger amounts of the drug to achieve the same high due to tolerance, not smaller amounts.