ATI RN
ATI RN Mental Health Online Practice 2023 B Questions
Question 1 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this time, vital patient information is transferred between nurses, making it crucial to be alert to communication errors. Patient safety relies on accurate and clear communication. Other choices (B, C, D) involve important communication opportunities, but the handover of information during shift change is when critical details can be missed or misunderstood, leading to potential harm. It is essential for nurses to focus on effective communication during this transition to ensure continuity of care and patient safety.
Question 2 of 5
Nurse Simon has just completed a psychosocial assessment of his client Juan. During the assessment, Nurse Simon listens to Juan and tries to make Juan feel respected by showing compassion and empathy. What method is Nurse Simon using?
Correct Answer: A
Rationale: The correct answer is A: the therapeutic relationship. Nurse Simon is using the therapeutic relationship method by actively listening to Juan, showing compassion, and empathy. This method focuses on building trust, respect, and rapport with the client to facilitate effective communication and promote positive outcomes in the therapeutic process. Summary of why the other choices are incorrect: B: Risk assessment is not the method being used here as Nurse Simon is focused on building a therapeutic relationship, not assessing potential risks. C: Spiritual awareness is not the method being used here as the scenario describes Nurse Simon showing compassion and empathy, not specifically focusing on spiritual beliefs or practices. D: Resilience strategy is not the method being used here as Nurse Simon is focused on establishing a therapeutic relationship, not implementing strategies to build resilience in the client.
Question 3 of 5
When considering the pathophysiology responsible for both delirium and dementia, which intervention is appropriate for delirium specifically?
Correct Answer: B
Rationale: The correct answer is B: Monitor neurological status on an ongoing basis. Delirium is characterized by acute changes in cognition and attention, necessitating continuous monitoring of neurological status to detect any fluctuations or worsening. This allows for prompt intervention and management to prevent complications. A: Assisting with basic needs is important but not specific to delirium management. C: Placing an identification bracelet does not directly address the cognitive changes seen in delirium. D: Giving simple directions is helpful, but monitoring neurological status is more crucial for managing delirium.
Question 4 of 5
A nurse is working with a client who is a survivor of violence on developing a safety plan. Which of the following would the nurse address first?
Correct Answer: B
Rationale: The correct answer is B, recognizing the signs of danger, as it is crucial to be able to identify potential threats before devising an escape plan or identifying safe places. By recognizing signs of danger, the client can proactively assess risky situations and take necessary precautions. This step is vital in ensuring the client's safety and preventing harm. Option A, devising an escape route, would be ineffective if the client cannot recognize the signs of danger to know when to use the route. Option C, identifying a safe place to hide, is not as effective as recognizing signs of danger since hiding may not always be a viable solution. Option D, identifying a signal to indicate it is safe to leave, would not be effective if the client cannot accurately assess when it is safe to leave. Recognizing signs of danger is the foundational step in creating a comprehensive safety plan.
Question 5 of 5
A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
Correct Answer: C
Rationale: Correct Answer: C: Risk for Other-Directed Violence related to alcohol withdrawal Rationale: 1. The patient is exhibiting combative behavior and altered thought processes, indicating potential for violent behavior towards others. 2. Other-directed violence encompasses harm towards others, making it a priority to ensure the safety of both the patient and others. 3. This diagnosis addresses the immediate safety concern and allows for interventions to prevent harm to others. Incorrect Choices: A: Risk for Injury - Focuses on self-injury, not directed towards others. B: Risk for Self-Mutilation - Similar to choice A, does not address potential harm towards others. D: Risk for Delayed Development - Not relevant to the current situation of altered thought processes and combative behavior.