ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.
Question 2 of 5
A community psychiatric nurse is reviewing data to find gaps in the local health-care system. What type of service yields the best outcomes for the acutely ill client?
Correct Answer: A
Rationale: The correct answer is A: wraparound services. This type of service provides comprehensive and individualized care that addresses the multiple needs of acutely ill clients, leading to better outcomes. It includes coordination of various services such as medical, psychological, social, and community support. This approach ensures holistic care and continuity of services, promoting recovery and reducing relapses. Summary: B: Community health services may offer some support but lack the personalized and comprehensive approach of wraparound services. C: Facility mental health services focus on treatment within a specific setting and may not address the broader needs of the client. D: Individual therapy services, while beneficial, may not be sufficient for acutely ill clients who require a more holistic and coordinated approach.
Question 3 of 5
On an inpatient psychiatric unit, the nurse explores feelings about potentially working with a woman whose husband has abused her and her children physically and verbally. This interaction would occur in which phase of the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A: Pre-interaction phase. In this phase, the nurse is preparing to meet the client, gathering information, and examining personal feelings and biases. By exploring feelings about working with an abused woman, the nurse is engaging in self-reflection and preparing to approach the interaction with awareness and sensitivity. The other choices are incorrect because in the orientation phase the nurse establishes rapport, in the working phase interventions are implemented, and in the termination phase the nurse evaluates outcomes and prepares for closure, none of which align with exploring personal feelings before meeting the client.
Question 4 of 5
The nurse is having a therapeutic conversation with a client in a locked inpatient psychiatric unit. The client states,"Please don't tell anyone about my sexual abuse." Which is the appropriate nursing response?
Correct Answer: B
Rationale: The correct answer is B because in an inpatient psychiatric unit, patient safety and treatment planning are the top priorities. By informing the healthcare team about the client's history of sexual abuse, they can provide appropriate care and interventions. Confidentiality cannot always be guaranteed in a psychiatric setting due to the duty to protect the client and others. Choice A is incorrect as it guarantees confidentiality, which may not be feasible in this situation. Choice C is incorrect as it challenges the client's decision and may breach trust. Choice D is incorrect as it focuses solely on the client's feelings without addressing the need for treatment planning by the healthcare team.
Question 5 of 5
Which level of prevention activities would a nurse in an emergency department employ most often?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.