ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
What is the rationale for providing a patient diagnosed with dementia easily accessible finger foods thorough the day?
Correct Answer: A
Rationale: The correct answer is A because providing easily accessible finger foods throughout the day increases input, ensuring the patient with dementia receives adequate nutrition. This approach helps maintain their energy levels and prevents malnutrition. Choice B is incorrect because anorexia is not necessarily the reason for providing finger foods. Choice C is incorrect as finger foods may not necessarily assist in monitoring food intake. Choice D is incorrect as the primary rationale for providing finger foods is to increase input, not specifically to prevent constipation.
Question 2 of 5
The nurse is caring for a 70-year-old psychiatric patient who has been prescribed a number of medications. When teaching the patient about the medications, which explanation would be most appropriate?
Correct Answer: C
Rationale: The correct answer is C. As individuals age, changes in liver functioning can lead to slower metabolism and clearance of medications from the body. This can result in medication levels accumulating in the system, potentially leading to toxicity. This explanation is important for the patient to understand the risks associated with their medications. Choice A is incorrect because the speed of stomach emptying does not necessarily impact medication effects. Choice B is incorrect as the entire GI system speeding up is not a typical age-related change and does not necessarily affect medication digestion. Choice D is incorrect as age-related circulation changes do not necessarily mean medications are delivered more quickly to specific body sites.
Question 3 of 5
A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A. Self-injurious behavior in individuals with borderline personality disorder is often a maladaptive coping mechanism used to relieve intense emotional distress or stress. This behavior is a way for the individual to externalize internal pain and gain a sense of control. It is important for the nurse to provide accurate information to the client's sister. Choice B is incorrect because self-injurious behavior in BPD is not typically used to calm or sedate individuals. Choice C is incorrect because self-injury is not usually a mechanism to avoid delusional thinking in BPD. Choice D is incorrect because while mood swings are common in BPD, self-mutilation is not typically used to slow them down.
Question 4 of 5
To keep the plan of care client-centered, what important assessment should the nurse do after identifying several risk factors for substance misuse in a client?
Correct Answer: B
Rationale: The correct answer is B: perform a client strengths assessment. This is essential to keep the plan client-centered by focusing on the individual's positive attributes and resources. By identifying the client's strengths, the nurse can tailor interventions that build on these assets to empower the client in managing the risk factors for substance misuse. A: Contacting a rehab center for an intake assessment is premature without fully assessing the client's strengths and individualized needs first. C: Asking the psychiatrist to screen for depression is important but does not directly address keeping the plan client-centered and focusing on strengths. D: Completing a health assessment is necessary but does not specifically address the client's strengths and may not fully support client-centered care.
Question 5 of 5
What principle about nurse-patient communication should guide a nurse's fear about 'saying the wrong thing' to a patient?
Correct Answer: A
Rationale: The correct answer is A because effective nurse-patient communication is guided by principles of empathy, respect, and genuine concern. Patients value feeling understood and supported, which can foster trust and rapport. This approach helps alleviate the nurse's fear of saying the wrong thing by emphasizing the importance of good intentions and empathy. Choice B is incorrect because it assumes the patient is solely focused on talking and not listening, which can undermine effective communication. Choice C is incorrect because a patient's history does not guarantee immunity to harm from insensitive comments. Choice D is incorrect as it incorrectly generalizes about individuals with mental illness and forgiveness tolerance.