ATI RN
RN Mental Health 2023 ATI Proctored Questions
Question 1 of 5
There is conflict surrounding the dying experience in modern medicine. The medical model of treatment in the United States has traditionally been focused on the prolongation of life. What intrinsic factor plays into this medical model?
Correct Answer: B
Rationale: The correct answer is B: Medicare is a fee-for-service model. In the United States, the fee-for-service model incentivizes healthcare providers to perform more procedures and tests to generate more revenue. This directly contributes to the focus on prolonging life rather than quality end-of-life care. Healthcare workers' intentions (A) and ethical considerations (D) may vary, and palliative care costs (C) are not the primary intrinsic factor shaping the medical model.
Question 2 of 5
A newly admitted patient diagnosed with major depressive disorder has gained 20 pounds over a few months and has suicidal ideation. The patient has taken antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
Correct Answer: C
Rationale: The priority nursing diagnosis in this scenario is C: Risk for suicide. This is because the patient's suicidal ideation poses an immediate threat to their safety and needs to be addressed urgently to ensure their well-being. The patient's weight gain and lack of symptom improvement with antidepressants are important factors but do not take precedence over the risk of suicide. Imbalanced nutrition and chronic low self-esteem are not the priority as they are not immediately life-threatening. Hopelessness is also important but addressing the risk for suicide takes precedence in this critical situation.
Question 3 of 5
The nurse's lack of verbal communication for therapeutic reasons is to"silence" as the nurse's ability to process information and examine reactions to the messages received is to:
Correct Answer: D
Rationale: The correct answer is D: "Listening." Listening in therapeutic communication involves not just hearing what the patient is saying, but also understanding the message, interpreting non-verbal cues, and providing appropriate responses. It is essential for building trust, showing empathy, and facilitating a therapeutic relationship. "Focusing" (A) is about directing the conversation to important topics, "Offering self" (B) involves sharing personal experiences or emotions, and "Restating" (C) is repeating what the patient has said, all of which are important communication techniques but not directly related to processing information and examining reactions like active listening.
Question 4 of 5
A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:
Correct Answer: C
Rationale: Rationale: Choice C is correct as it demonstrates active listening and encourages the patient to elaborate on their feelings, promoting therapeutic communication. It acknowledges the patient's emotions and seeks clarification to better understand their experience. This response shows empathy and validates the patient's feelings, fostering trust and rapport. Choices A and D lack empathy and may come off as dismissive or directive. Choice B focuses on the cause of anxiety rather than addressing the immediate emotional distress.
Question 5 of 5
The nurse is preparing to interview a 6-year-old girl and her mother in an outpatient psychiatric setting. To establish a treatment alliance with the child, the nurse should:
Correct Answer: C
Rationale: Rationale: Option C is correct as it demonstrates empathy and acknowledges the child's emotions, helping to establish trust and a therapeutic alliance. By recognizing the child's potential fear, the nurse shows understanding and provides reassurance. This approach creates a safe environment for the child to open up and build rapport with the nurse. Summary: A: Incorrect. Sharing personal information might not be relevant or comforting to the child, and it does not focus on the child's feelings. B: Incorrect. Standing and looking down can be intimidating and may not promote a sense of safety and trust in the child. D: Incorrect. Asking to interview the child alone without considering the child's comfort and feelings may lead to distrust and hinder the therapeutic relationship.