ATI RN
ATI Mental Health Final Quizlet Questions
Question 1 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates active listening, empathy, and encourages further exploration of the patient's experience without dismissing or invalidating their feelings. By asking James to share more about his experience, it shows that you are engaged, caring, and willing to understand his perspective. This approach can help build trust and rapport with the patient, which is important in therapeutic communication. Option A is incorrect because it denies the patient's experience and may lead to feelings of invalidation. Option B is incorrect as it dismisses the patient's feelings of fear and may come across as patronizing. Option D is incorrect as it focuses more on reassurance rather than addressing the patient's emotional distress and exploring their experience.
Question 2 of 5
A patient who has been taking clozapine for 6 weeks visits the clinic complaining of fever, sore throat, and mouth sores. The nurse notifies the patient's physician because the nurse suspects which of the following?
Correct Answer: D
Rationale: The correct answer is D: Agranulocytosis. Clozapine is known to cause agranulocytosis, a serious condition characterized by a decrease in white blood cells, leading to increased susceptibility to infections. The symptoms of fever, sore throat, and mouth sores are indicative of an infection, which could be a result of agranulocytosis. The physician should be notified immediately for further evaluation and management. A: Severe anemia is not typically associated with the symptoms described and is not a common side effect of clozapine. B: Neuroleptic malignant syndrome presents with symptoms such as muscle rigidity, fever, and altered mental status, which are different from the symptoms described. C: Encephalitis is inflammation of the brain and is not directly related to the symptoms reported by the patient.
Question 3 of 5
When working within the continuum of care, which of the following occurs first?
Correct Answer: C
Rationale: The correct answer is C: Assessment. In the continuum of care, assessment is the first step as it involves gathering information about the patient's condition and needs. This information guides the subsequent decisions and interventions. Referral (choice A) comes after assessment, when specialized care is needed. Transfer (choice B) occurs if the patient needs to move to a different facility or level of care. Discharge planning (choice D) is the final step, ensuring a smooth transition out of the care setting. Therefore, assessment is the initial and crucial step in the continuum of care.
Question 4 of 5
Individuals with severe mental illness (SMI) diagnoses can suffer from ineffective healthcare. Providers may be unaccustomed to working with this population or not comprehend obscure details described by the person seeking medical attention. This hurdle can be overcome by:
Correct Answer: D
Rationale: The correct answer is D: Integrating mental and physical health in one setting. This approach ensures that individuals with SMI receive holistic care addressing both their mental and physical health needs simultaneously. By having mental health professionals collaborate with medical providers in one setting, communication barriers are reduced, leading to more effective treatment. This integrated approach also helps in better coordination of care and ensures that all aspects of the individual's health are considered. Choice A (Seeking medical attention at the emergency department) is incorrect because it does not address the long-term need for integrated care for individuals with SMI. Choice B (Having a community clinic in the area where the SMI live) might help with accessibility but does not guarantee the integration of mental and physical health services. Choice C (Medicating the patient before a medical examination) is inappropriate as it does not address the underlying issue of healthcare disparity for individuals with SMI.
Question 5 of 5
The treatment team is recommending disulfiram (Antabuse) for a client who has had multiple admissions for alcohol detoxification. Which nursing question directed to the treatment team would protect this client's right to informed consent?
Correct Answer: A
Rationale: Rationale: Option A is correct because it focuses on the client's cognitive ability, crucial for giving informed consent. This question ensures the client understands the risks and benefits of disulfiram. Option B is incorrect as adherence is not directly related to informed consent. Option C is incorrect as it shifts focus to liability rather than the client's understanding. Option D is incorrect as it pertains to the least restrictive means of care, not specifically informed consent.