ATI RN
ATI Mental Health Book Questions
Question 1 of 5
What does the anti-psychiatry movement want to reform in psychiatric practices?
Correct Answer: B
Rationale: The correct answer is B because the anti-psychiatry movement aims to enhance transparency and client involvement in treatment decisions. This aligns with their belief in empowering individuals and prioritizing their autonomy in their own mental health care. By involving clients in treatment decisions and promoting transparency, the movement seeks to challenge traditional hierarchical structures in psychiatry. Choice A is incorrect as the anti-psychiatry movement generally opposes involuntary treatments due to ethical concerns. Choice C is incorrect as the movement actually emphasizes the importance of social determinants of mental health and advocates for addressing these factors. Choice D is incorrect as the movement does not aim to eliminate all medications, but rather questions the overreliance on medication as the primary form of treatment.
Question 2 of 5
A nursing student is experiencing fears related to the first clinical experience in a psychiatric setting. This is most likely to occur in which phase of the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A: In the pre-interaction phase, because the student is likely to be suspicious of psychiatric clients. During the pre-interaction phase, the nurse forms initial impressions and feelings about the client. The nursing student's fears related to the first clinical experience in a psychiatric setting are likely to manifest in this phase as they may have misconceptions or stereotypes about psychiatric clients, leading to feelings of fear or suspicion. This phase sets the tone for the interaction and can influence the student's approach and behavior during the clinical experience. Summary of other choices: B: In the orientation phase, the focus is on establishing trust and clarifying roles, not on the student's fears. C: In the working phase, the student should be actively engaging in therapeutic interventions, not focused on past experiences. D: In the termination phase, the student should be reflecting on the outcomes of the therapeutic relationship, not on fears about their ability to make a difference.
Question 3 of 5
A psychiatric nurse documents in a client's chart:"Seems to have no regard for legal or ethical standards. A problem client who needs constant limit setting." Which response by the nurse manager reflects the potential liability related to this entry?
Correct Answer: C
Rationale: The correct answer is C: "Documenting this puts you at risk for defamation of character." This is because the nurse's statement could harm the client's reputation by implying they have no regard for legal or ethical standards. Defamation of character involves making false statements that harm someone's reputation. The nurse's documentation could be seen as libel if it's in writing. A: "Documenting this breaches the client's right to confidentiality." This is incorrect because the issue is not about breaching confidentiality but rather about potentially harming the client's reputation. B: "Documenting this puts you at risk for malpractice." This is incorrect because malpractice typically involves a failure to meet the standard of care, not necessarily defamation of character. D: "Documenting this breaches the client's right to informed consent." This is incorrect as informed consent relates to the client's understanding and agreement to treatment, not to the nurse's documentation of behavior.
Question 4 of 5
A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
Correct Answer: C
Rationale: The correct answer is C: Recreational therapist. A recreational therapist can help the patient identify and engage in meaningful leisure activities to promote socialization and community integration. This can improve the patient's quality of life and overall well-being. Rationale: 1. Psychologist (A): While a psychologist can provide therapy and support, the patient's need for socialization and community engagement would be better addressed by a recreational therapist. 2. Social worker (B): A social worker can provide resources and support, but may not have the expertise in recreational therapy to address the patient's specific needs. 3. Occupational therapist (D): While an occupational therapist can help with daily activities and routines, they may not focus specifically on leisure activities and socialization as a recreational therapist would.
Question 5 of 5
Documentation in a patient's chart shows, "Throughout a 5-minute interaction, patient fidgeted and tapped left foot, periodically covered face with hands, and looked under chair while stating, ‗I enjoy spending time with you.'" Which analysis is most accurate?
Correct Answer: C
Rationale: The correct answer is C: The patient's verbal and nonverbal messages are incongruent. This is correct because the patient's statement "I enjoy spending time with you" does not align with their fidgeting, tapping foot, covering face, and looking under the chair - all signs of discomfort or unease. The incongruence between the verbal and nonverbal cues suggests a potential discrepancy between what the patient is saying and how they are truly feeling. A: The patient's behavior does not necessarily indicate positive feedback about the nurse's communication techniques. B: There is no indication of the nurse misinterpreting the patient's behavior based on cultural differences. D: There is no evidence to suggest that the patient is demonstrating psychotic behaviors based on the given information. In summary, the correct answer highlights the importance of recognizing and interpreting both verbal and nonverbal cues to gain a comprehensive understanding of a patient's communication.