ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 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 2 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 3 of 5
During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse would integrate understanding of which of the following when developing the patient's plan of care?
Correct Answer: A
Rationale: Step 1: Buddhism teaches that desire is the root cause of suffering (dukkha). Step 2: By understanding this core belief, the nurse can tailor the care plan to address the patient's desires and potential sources of suffering. Step 3: Integrating this understanding will help the nurse support the patient in reducing attachments and finding inner peace. Step 4: Choices B, C, and D are incorrect as they do not align with Buddhist beliefs and principles, which emphasize the cessation of desires and ego rather than self-indulgence, present unhappiness, or salvation through faith and humility.
Question 4 of 5
A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?
Correct Answer: B
Rationale: The correct answer is B: Munchausen's syndrome by proxy. This is a form of abuse where the caregiver fabricates or induces illness in someone under their care to gain attention or sympathy. In this scenario, the client's repeated attempts to harm the child for attention align with this syndrome. The other options do not fit the situation: A (Schizoid personality traits) doesn't involve intentional harm, C (Functional neurologic symptoms) is not related to fabricating illness in another, and D (Borderline personality disorder) doesn't typically involve this specific type of behavior.
Question 5 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.