ATI RN
Virtual ATI Mental Health Assessment Questions
Question 1 of 9
"QSEN" refers to
Correct Answer: B
Rationale: The correct answer is B: Quality and Safety Education for Nurses (QSEN). This is because QSEN is an initiative that focuses on improving the quality and safety of healthcare by providing education and resources for nurses. It aims to prepare nurses with the knowledge, skills, and attitudes necessary to enhance patient outcomes and reduce medical errors. Choice A is incorrect because it does not accurately represent the purpose of QSEN. Choice C is incorrect as it does not mention the focus on safety and quality in nursing care. Choice D is incorrect as it does not capture the comprehensive nature of the QSEN initiative.
Question 2 of 9
Obesity can be the end result of a binge-eating disorder. The nurse understands that the best treatment option in persons with a binge-eating disorder promotes:
Correct Answer: B
Rationale: The correct answer is B: Coping strategies. The best treatment option for persons with a binge-eating disorder focuses on addressing the underlying emotional issues that contribute to the disorder. Coping strategies help individuals manage stress, anxiety, and other triggers that lead to binge eating. This approach aims to break the cycle of emotional eating and promote healthier eating habits. Bariatric surgery (A) is not typically recommended for individuals with binge-eating disorder as it does not address the psychological aspects of the condition. Avoidance of public eating (C) may temporarily reduce triggers but does not address the root cause. Appetite suppression medications (D) do not address the underlying emotional issues and can have potential side effects.
Question 3 of 9
A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action.
Correct Answer: C
Rationale: The correct answer is C because it focuses on de-escalation by providing reassurance and support to the patient. By telling the patient to stop running and take a deep breath, the nurse acknowledges the patient's distress and offers assistance. This approach aims to help the patient regain control in a calming manner. Choice A is incorrect because asking for an example may not address the immediate need for de-escalation. Choice B is incorrect as physically restraining the patient could escalate the situation further. Choice D is incorrect as it may provoke feelings of fear or lack of control in the patient by mentioning seclusion.
Question 4 of 9
The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties. When evaluating the patient's assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following?
Correct Answer: A
Rationale: The correct answer is A: Herpes simplex viruses. Chronic stress can weaken the immune system, leading to increased susceptibility to viral infections. Elevated antibody titers to herpes simplex viruses would be expected due to the reactivation of latent infections during periods of stress. The other choices (B: Herpes zoster viruses, C: Acquired immune deficiency viruses, D: Influenza viruses) are less likely to be affected by chronic stress in the same way as herpes simplex viruses. Herpes zoster viruses typically reactivates due to decreased immunity in older age, acquired immune deficiency viruses are related to HIV infection, and influenza viruses are more commonly associated with acute infections rather than chronic stress.
Question 5 of 9
A forensic nurse examiner is interviewing an individual accused of a homicide. Which question should the nurse ask in preparation for a possible legal insanity defense?
Correct Answer: B
Rationale: The correct answer is B because asking about hallucinations is crucial for assessing the individual's mental state. Hearing voices that no one else can hear may indicate a psychotic disorder, which could be relevant for an insanity defense. Choice A is irrelevant to legal insanity defense as intellectual deficiency is not the same as legal insanity. Choice C focuses on the crime but does not directly address the individual's mental state. Choice D is also irrelevant to the legal insanity defense as knowing the victim does not determine legal sanity.
Question 6 of 9
A female client is diagnosed with panic disorder. The client tells the nurse that she hasn't left her house in more than a month because she was afraid of another attack. She visited the mental health clinic today only because her son brought her. Which nursing diagnosis would be a priority for this client?
Correct Answer: D
Rationale: The correct answer is D: Social Isolation related to fear of recurrence of anxiety symptoms. This is the priority nursing diagnosis for the client because her inability to leave the house due to fear of another panic attack has led to significant social isolation. This isolation can exacerbate her anxiety and impact her overall well-being. By addressing social isolation, the nurse can help the client reconnect with the community and support systems, which is crucial for managing panic disorder. Choice A (Powerlessness related to symptoms of anxiety) is incorrect because while the client may feel powerless, the immediate concern is the social isolation impacting her daily functioning. Choice B (Decisional Conflict related to fear of leaving the house) is incorrect as the client's issue is more about the consequences of not leaving the house rather than a decisional conflict. Choice C (Ineffective Family Coping related to symptoms of anxiety) is also incorrect as the focus should be on the client's own coping mechanisms and isolation rather than the family's coping strategies.
Question 7 of 9
A nurse influenced by Peplau's interpersonal theory works with an anxious, withdrawn patient. Interventions should focus on
Correct Answer: B
Rationale: The correct answer is B. Peplau's interpersonal theory emphasizes the importance of nurse-patient relationships and therapeutic communication. Using assertive communication helps build trust, address the patient's needs, and promote a therapeutic relationship. Rewarding desired behaviors (A) is behaviorist in nature and does not address the underlying emotional issues. Changing the patient's self-concept (C) is a long-term process that may not be appropriate for immediate care. Administering medications (D) may provide temporary relief but does not address the underlying emotional issues or promote therapeutic communication.
Question 8 of 9
A nursing instructor is asking a student to explain the care given for tic disorders and Tourette syndrome. What statement demonstrates that the student understands the concept?
Correct Answer: A
Rationale: The correct answer is A: One effective type of behavioral therapy used for tics is CBIT. This is correct because Comprehensive Behavioral Intervention for Tics (CBIT) is a well-established and evidence-based therapy for managing tics in individuals with tic disorders, including Tourette syndrome. CBIT focuses on teaching individuals techniques to monitor and control their tics through behavioral strategies. Choice B is incorrect because there are treatments available for Tourette syndrome, including medications and behavioral therapies like CBIT. Choice C is incorrect because not all people with tic disorders will have them for their entire lives; some may see improvement over time. Choice D is incorrect because Tourette syndrome typically starts in childhood, usually between the ages of 2 and 12 years old, not after age eighteen.
Question 9 of 9
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor. During an interview, the client's family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
Correct Answer: D
Rationale: The correct answer is D: Bathing Self-Care Deficit related to symptoms of schizophrenia. The priority nursing diagnosis should address the most immediate and essential need for the client's well-being. In this case, the client's disheveled appearance, uncombed and matted hair, and strange odor indicate a lack of self-care in terms of personal hygiene, specifically bathing. This can lead to physical health issues and negatively impact the client's self-esteem and social interactions. Addressing the bathing self-care deficit is crucial to improving the client's overall health and well-being. A: Ineffective Role Performance related to symptoms of schizophrenia - While this is a valid concern, addressing the client's basic self-care needs should take precedence over role performance. B: Social Isolation related to auditory hallucinations - While social isolation is important, the immediate focus should be on addressing the client's personal hygiene needs. C: Dysfunctional Family Processes related to psychosis - While involving the family is important, the priority