ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
On an inpatient psychiatric unit, a client states,"I want to learn better ways to handle my anger." This interaction is most likely to occur in which phase of the nurse-client relationship?
Correct Answer: C
Rationale: In the working phase, clients actively engage in exploring and addressing their issues, such as learning coping strategies for anger management. This phase focuses on goal setting, problem-solving, and skill development. The nurse-client relationship has progressed beyond initial introductions (orientation phase) and rapport-building (pre-interaction phase). The termination phase is when the relationship concludes after achieving goals. Thus, the correct answer is C as it aligns with the specific client goal of anger management intervention.
Question 2 of 5
Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with
Correct Answer: D
Rationale: The correct answer is D because assertive community treatment (ACT) is designed for individuals with severe mental illnesses, such as schizophrenia, who have difficulty managing their symptoms and functioning independently. This patient with schizophrenia and frequent hospitalizations would benefit from the intensive, community-based support provided by ACT teams. Choice A is incorrect as a phobic fear of crowded places does not typically require the level of intensive support provided by ACT. Choice B is incorrect as a single episode of major depressive disorder may not warrant the ongoing, comprehensive care offered by ACT. Choice C is incorrect as a catastrophic reaction to a tornado is likely a situational crisis that may be better addressed through crisis intervention or trauma-focused therapy, rather than ACT.
Question 3 of 5
A patient says to the nurse, "I dreamed I was stone When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?
Correct Answer: D
Rationale: The correct response is D because it directly addresses the ambiguity in the patient's statement by seeking clarification on the term "stoned." By asking for an example, the nurse can better understand the specific content of the dream and its emotional impact on the patient. This open-ended question encourages the patient to elaborate and express their feelings, leading to a more meaningful conversation and a deeper understanding of the patient's concerns. Choices A, B, and C are incorrect because they do not directly address the ambiguity in the patient's statement or seek clarification on the term "stoned." Choice A assumes the patient was uncomfortable with the dream content, choice B only relates the nurse's experience without addressing the patient's specific situation, and choice C focuses on the quality of sleep rather than the content of the dream.
Question 4 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 5 of 5
The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, 'It's been so difficult taking care of our son. We need a break. But he needs constant supervision.' Which of the following would be appropriate for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Respite residential care. This option allows the parents to take a break from caregiving while ensuring their son receives necessary supervision. Respite care offers temporary relief for caregivers, preventing burnout. Partial hospitalization (A) involves structured treatment during the day, not suitable for caregiver respite. Acute inpatient care (B) is for crisis situations, not for caregiver relief. Intensive outpatient programs (D) require the patient to attend frequent therapy sessions, not giving the parents a break.