ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates a sudden inability to function normally, which is a key characteristic of a crisis. When a person mentions that they can't seem to function like they usually do, it suggests a significant disruption in their usual coping mechanisms and daily functioning. This can be a sign of a crisis situation where the individual is overwhelmed and struggling to manage their emotions and behavior effectively. Choices A, B, and D do not specifically indicate a crisis as they primarily focus on emotional distress and sadness related to specific events or relationships. While these situations may also be challenging for the individual, they do not necessarily imply a crisis involving a sudden disruption in functioning.
Question 2 of 5
The nurse is caring for a client diagnosed with delirium who has been brought for treatment by his son. While taking the client's history, which question would be most appropriate for the nurse to ask the client's son?
Correct Answer: A
Rationale: The correct answer is A: "Has your father taken any medications recently?" This question is most appropriate because delirium can be caused by medication side effects. By asking about recent medications, the nurse can gather important information to help identify potential causes of the client's delirium. Summary of other choices: B: "Are you aware of your father falling or injuring his head in any way?" - This question focuses on physical trauma, which may not necessarily be related to the client's delirium. C: "Has your father had a recent stroke?" - While a stroke can cause delirium, assuming a stroke without evidence may lead to incorrect assessment and treatment. D: "Has your father experienced any major losses recently?" - This question is more related to emotional stressors and may not directly address the potential medical causes of delirium.
Question 3 of 5
A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self."
Correct Answer: D
Rationale: The correct answer is D because offering to sit with the patient shows empathy and a willingness to provide support. By expressing a desire to help the patient feel comfortable and open up, the nurse is effectively using the communication technique of "offering self." This approach creates a safe space for the patient to share their feelings and concerns. Choice A is incorrect because sharing personal experiences can shift the focus away from the patient's needs. Choice B is incorrect as it focuses on the patient's thoughts without offering support or empathy. Choice C is incorrect because it lacks personal engagement and does not actively offer the nurse's presence for support.
Question 4 of 5
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assess AP's qualifications: Ensures competency and safety. 2. Delegation based on competence: AP must be capable. 3. Legal and ethical responsibility: Nurse is accountable for delegation. 4. Ensures client safety: Properly trained AP will perform test accurately. Summary: B: Nurse should not perform the test; delegating responsibility is key. C: Asking about medication is not within scope for blood glucose testing. D: Checking prior results is not necessary for performing a current test.
Question 5 of 5
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: The correct answer is C: Resilience. Christopher's ability to form positive relationships, excel in school, and maintain high academic performance despite experiencing neglect indicates resilience. Resilience refers to the ability to adapt positively in the face of adversity. His behavior shows that he is able to overcome his challenging circumstances and thrive. Temperament (A) refers to inherent traits that influence behavior, genetic factors (B) may play a role but do not fully explain his response, and the paradoxical effects of neglect (D) are not the strongest explanation in this context.