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
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
Correct Answer: D
Rationale: The correct answer is D: Axis IV. Axis IV in DSM-IV is used to assess psychosocial and environmental stressors impacting the individual. Mrs. Green's recent experiences of her dog's death and her mother's cancer diagnosis are significant stressors that would be categorized under Axis IV. These stressors can contribute to her current mental health condition and treatment plan. Choice A (Axis I) refers to clinical disorders, which are not directly related to external stressors. Choice B (Axis II) pertains to personality disorders, which are not the focus here. Choice C (Axis III) involves general medical conditions, which are not the primary concern in this scenario. Hence, the correct choice is D as it specifically addresses the psychosocial stressors impacting Mrs. Green's mental health.
Question 3 of 5
The nurse is in the orientation phase of the nurse-patient relationship with a patient diagnosed with a mental disorder. When interviewing the patient during this first encounter, which information would be most important for the nurse to obtain about the patient?
Correct Answer: C
Rationale: Step 1: In the orientation phase, the main focus is establishing trust and rapport with the patient. Step 2: Understanding the patient's perception of the problem is crucial in building a therapeutic relationship. Step 3: By knowing their perception, the nurse can tailor interventions to address the patient's specific needs. Step 4: This information helps in formulating an individualized care plan and promoting patient engagement. Summary: Option C is correct as it aligns with the therapeutic communication goal in the orientation phase. Options A, B, and D are important but not as crucial in the initial phase of the nurse-patient relationship.
Question 4 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.
Question 5 of 5
After checking a patient's blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Correct Answer: C - Usually, you can anticipate that you will begin to react to things more slowly. Rationale: 1. Aging is a natural process that affects everyone. 2. As people age, physiological changes occur, impacting reaction times. 3. Slower reactions are common due to changes in the nervous system. 4. This response is appropriate as it addresses a normal aging change. Summary: A - Incorrect: Overly reassuring, does not acknowledge normal aging changes. B - Incorrect: Personality may remain stable, intelligence does not necessarily lessen. D - Incorrect: Unrealistic, generalized statement about becoming childlike.