ATI RN
ATI Engage Mental Health Questions
Question 1 of 5
The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority?
Correct Answer: D
Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.
Question 2 of 5
A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?
Correct Answer: A
Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit
Question 3 of 5
The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?
Correct Answer: A
Rationale: The correct answer is A: A risk for moderate to severe violence with people both within and outside his family. This is because individuals with antisocial personality disorder often exhibit behaviors such as aggression, impulsivity, disregard for the rights of others, and lack of empathy. With an extensive criminal record and being identified as having characteristics of antisocial personality disorder, the woman's husband is at an increased risk for violent behavior towards both family members and others. Choice B is incorrect because individuals with antisocial personality disorder typically lack remorse for their actions. Choice C is incorrect as depression and feelings of inadequacy are not characteristic of antisocial personality disorder. Choice D is incorrect as individuals with antisocial personality disorder may maintain superficial relationships but are not likely to isolate themselves from others purposefully.
Question 4 of 5
A patient says, "Please don't share information about me with the other people." How should the nurse respond?
Correct Answer: A
Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team. Incorrect choices: B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting. C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse. D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.
Question 5 of 5
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.