ATI RN
ATI Mental Health Final Questions
Question 1 of 5
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.
Question 2 of 5
The nursing student is experiencing a severe family crisis. In what way might this situation affect the student's performance in a psychiatric rotation?
Correct Answer: A
Rationale: The correct answer is A. The nursing student experiencing a severe family crisis might overidentify with clients, projecting their own needs onto them. This can lead to blurred professional boundaries and compromised care. Choice B is incorrect because fear of clients is more likely to stem from personal anxiety rather than a family crisis. Choice C is incorrect as feeling inadequate is a separate issue from overidentification. Choice D is incorrect because self-doubt due to lack of knowledge is not directly related to family crisis-induced overidentification.
Question 3 of 5
An unconscious client with a self-inflicted gunshot wound to the head is admitted. Family members allude to the existence of a living will in which the client mandates no implementation of life support. What is the legal obligation of the health-care team?
Correct Answer: B
Rationale: The correct answer is B: Follow the directions given in the living will because of mandates by state law. In this scenario, the living will is a legal document that expresses the client's wishes regarding medical treatment in case they become incapacitated. State laws typically require healthcare providers to honor living wills. This legal obligation supersedes the family's wishes, ethical principles like nonmaleficence (do no harm) or beneficence (do good). Therefore, it is essential for the health-care team to follow the specific directives outlined in the living will to respect the client's autonomy and ensure their wishes are honored.
Question 4 of 5
A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
Correct Answer: A
Rationale: The correct answer is A. By having the patient's spouse mark refill dates on the family calendar, it promotes family involvement in medication management, enhancing adherence. It also serves as a visual reminder for both the patient and spouse, reducing the likelihood of missed refills. This collaborative approach strengthens the support system and helps prevent relapse. Choice B is incorrect because it does not actively involve the patient or address the underlying issue of forgetfulness. Choice C may not be as effective as involving the spouse directly in the process. Choice D, while involving the patient, is too frequent and may not be necessary if the patient's stability can be maintained with proper support at home.
Question 5 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. The patient's inability to maintain eye contact, lowering of the chin, and looking at the floor are all nonverbal cues that convey important information about the patient's emotional state. Nonverbal communication plays a significant role in expressing feelings and emotions, and in this scenario, the patient's nonverbal cues indicate potential signs of distress or discomfort. The nurse's assessment of these nonverbal behaviors is crucial for understanding the patient's underlying emotions and providing appropriate support and care. Summary: B: A message filter - This choice is incorrect because the patient's nonverbal behaviors are not acting as a filter for the message but are a form of communication themselves. C: A cultural barrier - This choice is incorrect as the patient's nonverbal cues are more indicative of emotional distress rather than a cultural barrier. D: Social skills - This choice is incorrect because the patient's nonverbal behaviors are related to emotional expression rather than social