ATI RN
Mental Health Final ATI Questions
Question 1 of 9
The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Assessing for suicide risk is crucial before prescribing a tricyclic antidepressant due to the potential increase in suicidal ideation in the initial phase of treatment. Suicide risk assessment helps in determining the level of monitoring and support needed for the client. Choices B, C, and D are incorrect as hypersomnia, cardiac arrhythmia, and erectile dysfunction are not directly related to the initiation of tricyclic antidepressants and do not pose an immediate risk to the client's safety compared to suicidal ideation.
Question 2 of 9
Which finding best indicates that the goal 'Demonstrate mentally healthy behavior' was achieved for an adult patient? The patient
Correct Answer: A
Rationale: The correct answer is A because seeing oneself as capable of achieving ideals and meeting demands indicates a positive self-perception and mental strength, aligning with the goal of demonstrating mentally healthy behavior. Choice B is incorrect as it describes impulsive behavior, which is not indicative of mental health. Choice C suggests aggressive and selfish behavior, which goes against mental health principles. Choice D, seeking help when needed, is important but does not directly demonstrate the achievement of mentally healthy behavior like choice A does.
Question 3 of 9
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
Correct Answer: A
Rationale: The correct answer is A: Problem stimulating usual problem solving. In crisis intervention, the first phase is when the individual encounters a problem that triggers their usual problem-solving skills. This initial phase involves recognizing the crisis and attempting to assess and address the problem. This sets the stage for further crisis intervention strategies. Choices B, C, and D are incorrect: B: Trial and error attempts to alleviate problem - This typically occurs after the crisis has been recognized and initial problem-solving attempts have been made. C: Automatic relief behaviors take over - This is more likely to be a coping mechanism employed after the crisis has escalated and the individual is seeking immediate relief. D: Serious personality disorganization - This usually occurs in the later stages of a crisis when the individual's ability to cope is severely compromised.
Question 4 of 9
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, 'When should I take the medication?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Take it about ½ to 2 hours before you have sexual activity." This is the most appropriate response because sildenafil takes about 30 minutes to 1 hour to start working, with peak effectiveness around 1 to 2 hours after ingestion. Taking it too early or too late can affect its efficacy. Choice A is incorrect as timing should be based on sexual activity, not just morning routine. Choice C is incorrect as 5 minutes is too short for sildenafil to take effect. Choice D is incorrect as taking it at night may not align with the intended purpose of improving erectile function during sexual activity.
Question 5 of 9
A nurse is developing a presentation for a local community group of young and middle-aged adults about common psychosocial problems. Which of the following would be least appropriate for the nurse to integrate into the presentation?
Correct Answer: D
Rationale: The correct answer is D because it is the least appropriate statement to integrate into the presentation. The presentation is about common psychosocial problems in young and middle-aged adults, and the statement about superior technologic advances primarily applying in the United States is not directly relevant to the topic. Step 1: Identify the topic of the presentation - common psychosocial problems in young and middle-aged adults. Step 2: Evaluate each choice based on relevance to the topic. Step 3: D is least appropriate as it focuses on technological advances rather than psychosocial problems. Step 4: A, B, and C are more relevant as they discuss age range, cultural aspects, and global norms related to the target audience. In summary, D is the least appropriate choice as it deviates from the main focus of the presentation on psychosocial problems in young and middle-aged adults. Choices A, B, and C are more relevant to the topic at hand.
Question 6 of 9
A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient
Correct Answer: D
Rationale: The correct answer is D because it aligns with the concept of cultural competence. Puerto Rican American culture values expressive body language to convey emotions. This behavior is not indicative of a histrionic personality disorder (A), sexual appeal (B), or seeking attention (C). Understanding cultural norms is crucial in interpreting patient behavior accurately.
Question 7 of 9
The nurse states to a client on an inpatient unit,"Tell me what's been on your mind." Which describes the purpose of this therapeutic communication technique?
Correct Answer: A
Rationale: The correct answer is A: To have the client choose the topic of the conversation. By asking the client to share what's on their mind, the nurse is allowing the client to lead the discussion and express their concerns or thoughts. This empowers the client to direct the conversation towards what is most important to them, promoting client-centered care and fostering a sense of autonomy. Choice B is incorrect because the purpose is not to present new ideas but to encourage the client to share their own thoughts. Choice C is incorrect as conveying interest is important in therapeutic communication but not the primary purpose of this specific technique. Choice D is incorrect as the purpose is not specifically to provide time for reflection but to allow the client to initiate the conversation.
Question 8 of 9
While working with an older male patient, the nurse begins to think that the patient reminds the nurse of her grandfather and responds as if she was the granddaughter. The nurse is developing which of the following?
Correct Answer: C
Rationale: The correct answer is C: Countertransference. Countertransference occurs when the nurse projects their own feelings, experiences, or attitudes onto the patient, based on personal issues or past relationships. In this scenario, the nurse is reacting to the patient as if he was her grandfather, indicating a personal connection influencing her behavior. Incorrect choices: A: Empathy is the ability to understand and share the feelings of another. While empathy is important in nursing, it does not involve projecting personal experiences onto the patient. B: Transference refers to the patient projecting feelings onto the nurse based on past experiences. It is the opposite of countertransference. D: Modeling involves observing and imitating the behavior of others, which is not the case in this scenario.
Question 9 of 9
Light projected into the retina is believed to trigger changes in sleep patterns and quality of sleep. Therefore the nurse should suggest:
Correct Answer: C
Rationale: The correct answer is C: Limiting use of electronic devices in the hour before bedtime. Exposure to blue light emitted by electronic devices can disrupt the production of melatonin, a hormone that regulates sleep. By limiting electronic device use before bedtime, the nurse can help the individual maintain a more natural sleep-wake cycle. Choice A is not directly related to the impact of light on sleep patterns. Choice B, exercising before bedtime, can actually stimulate the body and make it harder to fall asleep. Choice D, dimming screens, is a good practice but may not be as effective as completely avoiding electronic devices before bedtime to optimize sleep quality.