ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
What is a true statement regarding the treatment of personality disorders?
Correct Answer: D
Rationale: The correct answer is D because psychotherapy is a key treatment for personality disorders, including cluster A disorders like schizoid or paranoid personality disorder. While medications may help manage symptoms, they do not treat the core issues. Option A is incorrect because personality disorders are deeply ingrained and not typically cured. Option B is incorrect as DBT primarily targets emotion regulation in borderline personality disorder. Option C is incorrect as medications are not considered primary treatment for personality disorders.
Question 2 of 5
Tommy, a 12-year-old boy admitted to the pediatric psychiatric unit, has recently been diagnosed with conduct disorder. In the activity room, the games he wanted to play were already in use. He responded by threatening to throw furniture and to hurt his peers who had the game he wanted. Nancy, a registered nurse, recognizes that Tommy's therapy must include:
Correct Answer: A
Rationale: The correct answer is A: Consistency in implementing the consequences of breaking rules. This is essential in managing conduct disorder as it helps establish clear boundaries and expectations for behavior. By consistently applying consequences when rules are broken, Tommy will learn that his actions have repercussions, promoting accountability and potentially reducing future outbursts. Choice B is incorrect because while empathy is important in understanding Tommy's emotions, it alone is not sufficient to address the underlying behavior. Choice C is incorrect as simply teaching the benefits of socializing does not directly address Tommy's behavior and the root causes of his conduct disorder. Choice D is incorrect as solitary time may not effectively address the need for structure, consequences, and social skill development that Tommy requires in his therapy.
Question 3 of 5
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Invincibility fable. This term refers to the belief that one is immune to harm or negative outcomes. The teen's statement reflects this cognitive distortion, common in adolescents. It signifies a sense of invulnerability and underestimation of risks. The other choices are incorrect because B: Formal operations refers to Piaget's cognitive development stage, not relevant here. C: Egocentric thinking is about self-centeredness, not directly related to risk perception. D: Relational aggression involves social manipulation, not present in the teen's statement.
Question 4 of 5
A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, 'Back off!' and then goes to the dayroom. While following the patient into the dayroom, the nurse should
Correct Answer: A
Rationale: The correct answer is A, as it prioritizes safety by ensuring physical space between the nurse and the patient, reducing the risk of potential harm. By creating distance, the nurse can prevent escalation and maintain a safe environment for both parties. This approach allows for de-escalation and assessment of the situation without provoking further agitation. Choice B is incorrect as it may trap the patient and limit their options, potentially increasing their distress. Choice C is incorrect as maintaining a fixed distance may not be sufficient if the patient becomes physically aggressive. Choice D is incorrect as immediately engaging in conversation may exacerbate the situation and lead to further agitation.
Question 5 of 5
The unit secretary receives a phone call from the health insurer for a hospitalized patient. The caller seeks information about the patient's projected length of stay. How should the nurse instruct the unit secretary to handle the request?
Correct Answer: C
Rationale: The correct answer is C: Refer the request for information to the patient's case manager. The case manager is responsible for coordinating the patient's care, including length of stay discussions with the health insurer. This ensures that the information is handled appropriately and in accordance with privacy regulations. Incorrect answers: A: Obtaining information from the medical record and relaying it to the caller may violate patient confidentiality and privacy laws. B: While patient information is confidential, it is important to address the health insurer's request through the appropriate channels. D: Referring the request to the health care provider may not be necessary as the case manager is typically the appropriate point of contact for length of stay discussions with the health insurer.