ATI RN
Mental Health Proctored ATI Questions
Question 1 of 9
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Correct Answer: D - Establish a regular time for going to bed and getting up in the morning. Rationale: Setting a consistent bedtime and wake-up time helps regulate the body's internal clock, promoting better sleep quality. This routine helps synchronize the body's natural sleep-wake cycle, making it easier to fall asleep and wake up feeling refreshed. Consistency reinforces the body's circadian rhythm, enhancing overall sleep hygiene. Summary: A: Eating right before bed can disrupt sleep by causing indigestion and discomfort. B: Exercising right before bedtime can stimulate the body and mind, making it harder to fall asleep. C: Drinking tea before bed may contain caffeine or disrupt the need to wake up for bathroom trips, affecting sleep quality.
Question 2 of 9
A nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first?
Correct Answer: B
Rationale: The correct answer is B because lethargy and confusion in a client with gastroenteritis may indicate dehydration or electrolyte imbalance, which can lead to serious complications. The nurse should report this finding first to prevent deterioration. Choice A is incorrect because thick productive cough and thirst in a client with cystic fibrosis are common symptoms and may not require immediate provider notification. Choice C is incorrect because a morning fasting blood glucose of 185 mg/dL in a client with diabetes mellitus is elevated but not considered a critical finding that requires immediate reporting. Choice D is incorrect because pain 15 minutes after receiving an oral analgesic is a common occurrence and does not indicate an urgent need for provider notification.
Question 3 of 9
A person with mental illness does not want to seek care because of the shame they feel for being sick. What type of stigma is this related to?
Correct Answer: A
Rationale: The correct answer is A: self-stigma. Self-stigma occurs when individuals internalize negative beliefs and attitudes about themselves due to their mental illness. In this scenario, the person feels shame for being sick, indicating self-stigma. Caregiver stigma (B) refers to stigma experienced by those caring for individuals with mental illness. Institutional stigma (C) pertains to stigma within organizations or systems. Public stigma (D) involves societal attitudes and discrimination towards individuals with mental illness. In this case, the individual's shame is self-directed, making self-stigma the most appropriate choice.
Question 4 of 9
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Correct Answer: D - Establish a regular time for going to bed and getting up in the morning. Rationale: Setting a consistent bedtime and wake-up time helps regulate the body's internal clock, promoting better sleep quality. This routine helps synchronize the body's natural sleep-wake cycle, making it easier to fall asleep and wake up feeling refreshed. Consistency reinforces the body's circadian rhythm, enhancing overall sleep hygiene. Summary: A: Eating right before bed can disrupt sleep by causing indigestion and discomfort. B: Exercising right before bedtime can stimulate the body and mind, making it harder to fall asleep. C: Drinking tea before bed may contain caffeine or disrupt the need to wake up for bathroom trips, affecting sleep quality.
Question 5 of 9
A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
Correct Answer: C
Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.
Question 6 of 9
The nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
Correct Answer: A
Rationale: The correct answer is A: Nutrition patterns. Priority in assessing a client with borderline personality disorder is to ensure basic needs are met. Nutrition patterns impact physical and mental health. Personal hygiene (B), physical functioning (C), and somatic complaints (D) are important but addressing nutrition patterns takes precedence in ensuring overall well-being and stability for the client.
Question 7 of 9
Which behavior shows that a nurse values autonomy? The nurse
Correct Answer: C
Rationale: The correct answer is C because discussing options and helping the patient weigh consequences promotes autonomy by involving the patient in decision-making. This empowers the patient to make informed choices about their care. A is incorrect as it limits the patient's autonomy. B restricts the patient's support system. D focuses on setting boundaries rather than promoting autonomous decision-making.
Question 8 of 9
A nurse is providing care to several chronically ill children. Which of the following would the nurse identify as having the greatest risk for developing a psychiatric problem?
Correct Answer: B
Rationale: The correct answer is B: 5-year-old with cerebral palsy. Children with cerebral palsy often face challenges in mobility, communication, and social interactions, which can contribute to the development of psychiatric problems. The physical limitations and the impact on daily activities can lead to feelings of frustration, isolation, and low self-esteem, increasing the risk of psychiatric issues. The other choices (A, C, D) do not inherently pose the same level of risk for developing psychiatric problems as cerebral palsy. Children with diabetes mellitus (A) can manage their condition with proper care, children with chronic renal disease (C) may face physical health challenges but not necessarily psychiatric problems, and a heart murmur (D) is a physical condition that typically does not directly affect mental health.
Question 9 of 9
Jimmy has been hospitalized three times for schizophrenia. Typically, he is very disorganized, spends his money irresponsibly, and loses his housing when he does not pay the rent. In turn, Jimmy cannot be located by his case manager, which leads to treatment nonadherence and relapse. Which response would be most therapeutic? Select all that apply.
Correct Answer: C
Rationale: Rationale: Option C is the most therapeutic response because long-acting injectable antipsychotic medication can help address Jimmy's treatment nonadherence, as he may forget or choose not to take oral medications. This option also involves collaboration with his prescribing clinician, ensuring a comprehensive approach to his care. Summary: A: This response focuses on punishment rather than therapeutic intervention, which may worsen Jimmy's symptoms. B: While having a guardian could help manage his finances, it does not directly address his treatment nonadherence and relapse issues. D: Allowing periods of homelessness as a natural consequence is not a therapeutic approach and may exacerbate Jimmy's situation.