ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't participate because I don't speak the language very well." Patient will
Correct Answer: D
Rationale: The correct answer is D: select and participate in one group activity per day. This outcome directly addresses the nursing diagnosis of impaired social interaction and sociocultural dissonance by promoting engagement in social activities. By actively participating in a group activity, the patient can practice social skills and interact with others, thus improving social interaction. Choices A and B focus on individual skills rather than social interaction. Choice C relates to decision-making rather than social interaction. Therefore, choice D is the most appropriate outcome to address the patient's nursing diagnosis.
Question 2 of 5
Which nurse-client communication-centered skill implies"respect"?
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Choice A emphasizes the nurse's regard for the client as a person of worth, emphasizing respect. 2. It highlights valuing and accepting the client without any conditions or reservations. 3. Demonstrates the core aspect of respect in communication, acknowledging the client's intrinsic value. 4. Reflects a fundamental principle of client-centered care, fostering a positive and supportive relationship. Summary of why other choices are incorrect: B. While understanding the client's perspective is important, it focuses more on empathy than respect. C. Self-congruence and authenticity are important but do not directly address respect for the client. D. Using specific terminology is valuable for clarity but does not directly relate to demonstrating respect for the client as a person of worth.
Question 3 of 5
An adult says, 'Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.' Which number on this mental health continuum should the nurse select?
Correct Answer: D
Rationale: The correct answer is D (4) on the mental health continuum. The statement indicates a high level of mental well-being, self-esteem, and understanding of the relationship between effort and outcomes, aligning with Level 4. This level signifies positive self-esteem, a sense of purpose, and the ability to cope effectively with life's challenges. Choices A, B, and C are incorrect because they represent lower levels of mental health with characteristics such as low self-esteem, negative emotions, and difficulty coping with stressors.
Question 4 of 5
The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?
Correct Answer: C
Rationale: The correct answer is C: Ask the patient, 'Do you have any plan to hurt yourself or anyone else?' This is the initial intervention because it assesses the patient's risk of harm. It is crucial to determine if the patient has any suicidal ideation or intent. This question helps gauge the level of risk and informs the appropriate level of intervention. Explanation for why the other choices are incorrect: A: Advising the patient about available services is important but not the initial step when assessing immediate risk. B: Asking about past experiences with depression is not as critical as assessing the current risk of harm. D: Assuring the patient of safety is important, but directly addressing the possibility of harm is more urgent in crisis intervention.
Question 5 of 5
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
Correct Answer: A
Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.