ATI RN
ATI Mental Health Proctored Exam 2023 Test Bank Questions
Question 1 of 5
What intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
Correct Answer: A
Rationale: The correct answer is A: referring the client for hypnosis. Hypnosis is an evidence-based nonpharmacologic intervention for chronic pain that can help manage pain perception and improve coping mechanisms. It is safe and effective for long-term pain management. Referring for hypnosis aligns with the holistic approach to chronic pain management. Choice B: administering pain medication as prescribed is a pharmacologic intervention, not nonpharmacologic. Choice C: removing all glaring lights and excessive noise can help create a comfortable environment but may not directly address chronic pain relief. Choice D: using over-the-counter transcutaneous electric nerve stimulation is a nonpharmacologic intervention, but it may not be as effective for chronic pain as hypnosis.
Question 2 of 5
A nursing student observes an incorrect dosage of medication being given to a client receiving electroconvulsive therapy. To implement the ethical principle of veracity, which action would the nursing student take?
Correct Answer: B
Rationale: The correct answer is B. By informing the student's instructor and the client's primary nurse, the nursing student upholds the ethical principle of veracity, which is being truthful and honest. This action ensures that the correct dosage of medication is administered to the client, preventing potential harm. Documenting the situation is essential for accurate record-keeping and accountability. Choice A is incorrect because keeping the information confidential would go against the ethical principle of veracity and could potentially harm the client. Choice C is incorrect as the decision about actions should involve healthcare professionals to ensure the client's safety and well-being, not solely the client. Choice D is incorrect because even if the client was not harmed immediately, incorrect medication dosages could still have long-term consequences, making it crucial to report the incident for proper evaluation and prevention.
Question 3 of 5
What intervention should the nurse include as a nonpharmacologic pain-relief intervention for chronic pain?
Correct Answer: A
Rationale: The correct answer is A: referring the client for hypnosis. Hypnosis is an evidence-based nonpharmacologic intervention for chronic pain that can help manage pain perception and improve coping mechanisms. It is safe and effective for long-term pain management. Referring for hypnosis aligns with the holistic approach to chronic pain management. Choice B: administering pain medication as prescribed is a pharmacologic intervention, not nonpharmacologic. Choice C: removing all glaring lights and excessive noise can help create a comfortable environment but may not directly address chronic pain relief. Choice D: using over-the-counter transcutaneous electric nerve stimulation is a nonpharmacologic intervention, but it may not be as effective for chronic pain as hypnosis.
Question 4 of 5
A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client?
Correct Answer: C
Rationale: The correct answer is C: Developing the therapeutic relationship. In complex somatic symptom disorder, patients often have difficulty trusting healthcare providers and may resist treatment. Developing a therapeutic relationship requires patience, empathy, and understanding. It is crucial for effective care as it allows the nurse to address the underlying psychological issues contributing to the somatic symptoms. Pain management (choice A) and anxiety relief (choice B) are important but may be more straightforward compared to building trust and rapport. Monitoring treatment (choice D) is essential but can be done effectively once a therapeutic relationship is established.
Question 5 of 5
Garret's wife of 8 years is divorcing him because the marriage never developed a warm or loving atmosphere. Garrett states in therapy, 'I have always been a loner,' and was never concerned about what others think. The nurse practitioner suggests that Garrett try a trial of bupropion (Wellbutrin) to:
Correct Answer: C
Rationale: Rationale for Choice C (Increase the pleasure of living): Bupropion is an antidepressant that works by increasing dopamine and norepinephrine levels in the brain, which can help improve mood and overall sense of pleasure. Given Garrett's emotional flatness and lack of warmth in his relationships, bupropion can potentially enhance his ability to experience pleasure in life and improve his overall quality of life. Summary of Incorrect Choices: A: Improving flat emotions is a potential benefit of bupropion, but the primary goal is not just to improve emotions, but to increase the pleasure of living. B: While bupropion can sometimes help with sleep disturbances, the main reason for prescribing it in Garrett's case is to address his emotional flatness and lack of enjoyment in life. D: Bupropion is not specifically indicated to prepare someone for group therapy; its main purpose in this scenario is to improve Garrett's overall sense of pleasure and enjoyment in life.