ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
On an inpatient locked psychiatric unit, a newly admitted client requests to leave against medical advice (AMA). What should be the initial nursing action for this client?
Correct Answer: B
Rationale: The correct initial nursing action for a client wanting to leave against medical advice from an inpatient locked psychiatric unit is to check the client's admission status and discuss the reasons for wanting to leave (Choice B). This approach allows the nurse to assess the client's mental status, risk factors, and reasons for wanting to leave, which are essential for providing appropriate care and interventions. By understanding the client's perspective and concerns, the nurse can work collaboratively with the client to address underlying issues and potentially prevent harm. Choices A, C, and D are incorrect because they do not prioritize understanding the client's reasons for wanting to leave or assessing the client's mental status and risk factors. Choice A dismisses the client's request without exploring the underlying issues. Choice C focuses on punitive measures rather than therapeutic communication. Choice D, placing the client on one-on-one observation, does not address the client's concerns or reasons for wanting to leave.
Question 2 of 5
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
Correct Answer: B
Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.
Question 3 of 5
Which determines the scope of practice for a registered nurse employed in a psychiatric inpatient facility?
Correct Answer: B
Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.
Question 4 of 5
A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B because maintaining regular bedtimes and rising times helps establish a consistent sleep schedule, which is crucial for managing insomnia. This intervention promotes the client's natural sleep-wake cycle and overall sleep quality. Encouraging the client to consider stopping smoking (Choice A) is important for overall health but may not directly address the immediate sleep issue. Taking frequent naps (Choice C) can disrupt the client's ability to fall asleep at night. Administering sleep medications (Choice D) should be a last resort and not the initial intervention.
Question 5 of 5
A nurse is assessing a client with borderline personality disorder. Which question would be most appropriate to assess the client's level of impulsivity?
Correct Answer: B
Rationale: The correct answer is B: "Have you ever felt sorry after acting as you did on the spur of the moment?" This question directly assesses the client's level of impulsivity by probing into their past impulsive actions and their subsequent feelings of regret. Impulsivity is characterized by acting without thinking of the consequences, often leading to regret afterwards. Choices A, C, and D do not directly address impulsivity but instead focus on the client's emotions, views on others, and dissociative experiences respectively, which are not specifically related to impulsivity.