ATI RN
ATI Mental Health Proctored Exam 2023 Test Bank Questions
Question 1 of 5
Select the example of tertiary prevention.
Correct Answer: A
Rationale: The correct answer is A because tertiary prevention focuses on managing existing conditions to prevent further complications. Helping a person with mental illness learn to manage money falls under this category by providing support and skills to improve their quality of life. Choice B involves physical restraint, which is not a form of prevention. Choice C is an example of primary prevention as it aims to educate and prevent the initial occurrence of substance abuse. Choice D is an example of secondary prevention as it involves identifying genetic risks and providing counseling to prevent the development of diseases or conditions.
Question 2 of 5
The nurse is caring for an older patient in a residential care facility. The patient has been extremely irritable the entire day. When modifying the patient's plan of care, which of the following would be an appropriate snack to offer the patient to decrease the irritability?
Correct Answer: D
Rationale: The correct answer is D: Glass of milk. Milk contains tryptophan, an amino acid that helps in the production of serotonin, a neurotransmitter that contributes to mood regulation. Offering the patient a glass of milk can help increase serotonin levels, potentially decreasing irritability. A: Chocolate candy bar is high in sugar and may lead to a spike in blood sugar levels, followed by a crash, which can worsen irritability. B: Raisins are a source of natural sugars but lack the necessary nutrients to help regulate mood. C: Granola bar may contain added sugars and lack the specific components like tryptophan found in milk to help improve mood.
Question 3 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 4 of 5
Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?
Correct Answer: A
Rationale: The correct answer is A because it promotes cognitive-behavioral techniques to manage anger effectively. By helping the patient identify triggering thoughts, evaluate their validity, and replace them with reality-based thinking, nurses can assist in changing the patient's response to anger. This intervention encourages self-awareness and empowers the patient to develop healthier coping mechanisms. Choice B is incorrect as it promotes punitive measures, which can escalate aggression and undermine trust between the patient and healthcare provider. Choice C is incorrect as aversive conditioning methods like popping a rubber band on the wrist are not evidence-based and can be harmful. Choice D is incorrect as medication should not be the first-line intervention for managing anger without violence.
Question 5 of 5
Ling works as a registered nurse in an Alzheimer's care home. Ling has a specialized rapport-building technique she uses called reminiscence. She uses this technique by:
Correct Answer: D
Rationale: The correct answer is D because reminiscence involves encouraging individuals to recall past events, which can help trigger memories and improve cognitive function in Alzheimer's patients. By encouraging the residents to talk about pleasurable past events, Ling is engaging them in reminiscence therapy, which can enhance their well-being and quality of life. Option A is incorrect because talking about Ling's own grandparents' lives doesn't directly engage the residents in reminiscing about their own past. Option B is incorrect because playing music from the residents' formative years may evoke memories but does not actively engage them in reminiscence therapy. Option C is incorrect because reviewing movies may provide entertainment but does not specifically target reminiscence and memory recall as effectively as encouraging the residents to talk about their own past experiences.