ATI RN
ATI Mental Health Practice A 2023 Questions
Question 1 of 5
Fred is an older adult with spinal stenosis and who is being treated with a short-term prescription of opioids for an acute episode of back pain. His nurse recognizes additional teaching is necessary when Fred states:
Correct Answer: D
Rationale: The correct answer is D because sharing prescription medication, such as Norco, with others is illegal and dangerous. Step 1: Sharing opioids is illegal and can lead to legal consequences. Step 2: Sharing opioids can result in harmful drug interactions or overdose due to individual variations in tolerance and health conditions. Step 3: It is important to emphasize the importance of using prescribed medications only as directed by a healthcare provider for safety and effectiveness. Choices A, B, and C are incorrect because they are all appropriate self-management strategies for managing back pain in older adults with spinal stenosis.
Question 2 of 5
Nurse Jon is caring for a client with severe anxiety. Their anxiety has recently increased so much that the client is unable to go to work. Identify the category of the continuum of mental health to mental wellness that applies to Nurse Jon's client.
Correct Answer: C
Rationale: The correct answer is C: mental illness. Severe anxiety that impacts daily functioning is indicative of a mental illness. Mental illnesses are conditions that affect a person's thinking, feeling, behavior, or mood. In this case, the client's inability to work due to increased anxiety indicates a significant impairment in their mental health. This falls within the category of mental illness on the continuum of mental health to mental wellness. Summary: A: Emotional problems or concerns typically refer to temporary issues such as stress or relationship difficulties, not as severe as a mental illness. B: Well-being signifies a positive state of overall health and happiness, which is not the case when a person is unable to function due to severe anxiety. D: Between well-being and emotional problems does not accurately capture the severity of the client's condition, which is indicative of a mental illness.
Question 3 of 5
A welder who recently lost his leg in a work-related accident is being admitted to an inpatient psychiatric unit. The client states,"I'm worried because I can't support my family anymore!" Which nursing diagnosis is most reflective of this client's presenting problem?
Correct Answer: B
Rationale: The correct answer is B: Ineffective role performance R/T loss of job. This nursing diagnosis is the most reflective of the client's presenting problem because the client is expressing worry about not being able to support his family anymore due to losing his job as a welder. This directly relates to a disruption in his ability to fulfill his role as the provider for his family. A: Ineffective coping R/T poor self-esteem is incorrect because the client's primary concern is related to financial support, not self-esteem. C: Impaired social interaction R/T altered body image is incorrect as the client's worry is about providing for his family, not about altered body image affecting social interactions. D: Knowledge deficit R/T wound and skin care is incorrect as the client's main concern is about financial support, not a lack of knowledge about wound and skin care.
Question 4 of 5
Which statement reflects the ethical principle of utilitarianism?
Correct Answer: A
Rationale: The correct answer is A: "The end justifies the means." This statement aligns with the ethical principle of utilitarianism, which focuses on achieving the greatest good for the greatest number of people. In utilitarianism, the consequences of an action determine its morality, and if the end result benefits the majority, then the means used to achieve it are justified. Explanation for why other choices are incorrect: B: "If you mean well, you will be justified." - This statement reflects more of an intention-based ethical principle rather than utilitarianism that prioritizes outcomes over intentions. C: "Do unto others as you would have them do unto you." - This reflects the Golden Rule principle of reciprocity, not utilitarianism which emphasizes maximizing overall happiness. D: "What is right is what is best for me." - This choice is more aligned with ethical egoism, which prioritizes self-interest rather than the greater good for the majority.
Question 5 of 5
A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.
Correct Answer: C
Rationale: The correct action for the case manager is to arrange a temporary place for the patient to stay until new housing can be arranged. This is the most appropriate response because it addresses the immediate need of the patient for housing stability. By providing temporary accommodation, it ensures the patient's safety and well-being while allowing time to find a more permanent housing solution. Postponing discharge (Choice A) could lead to prolonged hospitalization, increasing healthcare costs unnecessarily. Contacting the landlord (Choice B) may not directly address the patient's housing needs and could potentially escalate the situation. Determining the genuineness of the adverse medication reaction based on the patient's housing situation (Choice D) is not relevant to addressing the patient's immediate housing needs and may undermine the patient's care. In summary, Choice C is the best course of action as it prioritizes the patient's immediate safety and well-being while working towards a more permanent housing solution.