ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
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 5
Which of the following clients retain the right to give informed consent? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment. Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent. Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent. Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.
Question 3 of 5
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.
Question 4 of 5
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 5 of 5
A patient has a history of impulsively acting-out anger by striking others. Select the most appropriate intervention for avoiding similar incidents.
Correct Answer: B
Rationale: The correct answer is B because helping the patient identify incidents that trigger impulsive anger addresses the root cause of the behavior. By understanding triggers, the patient can learn to anticipate and manage their anger more effectively. This intervention promotes self-awareness and empowers the patient to develop coping strategies. Choice A is incorrect because herbal preparations may not address the underlying causes of the impulsive anger. Choice C is inappropriate as using restraint and seclusion should be a last resort and not the primary intervention. Choice D is not as effective as helping the patient identify triggers, as one-on-one supervision does not necessarily address the root cause of the behavior.