ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
Which aspect of direct care is an experienced, inpatient psychiatric nurse most likely to provide for a patient?
Correct Answer: D
Rationale: The correct answer is D because building assertiveness skills is a crucial aspect of direct care in psychiatric nursing. It helps patients communicate effectively, set boundaries, and advocate for themselves, leading to improved self-esteem and empowerment. Hygiene assistance (A) is important but not specific to psychiatric care. Diversional activities (B) and job hunting assistance (C) are valuable interventions, but building assertiveness skills (D) directly supports the patient's mental health recovery and coping strategies.
Question 2 of 5
The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when he states which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. "I should start by stating my feelings as an 'I' statement" is correct because using 'I' statements helps the client express their feelings without blaming others. 2. By starting with their own feelings, the client takes ownership of their emotions and promotes effective communication. 3. This approach also helps in avoiding conflict and promotes empathy and understanding between the client and the other person. Summary: - Option B is incorrect because starting with describing the situation may lead to blaming or accusing the other person. - Option C is incorrect because starting with what the client wants to change may come across as demanding or aggressive. - Option D is incorrect because starting with what triggered the emotion may focus on external factors rather than the client's feelings.
Question 3 of 5
A nurse has used the Geriatric Depression Scale (short form) to assess an older adult client for depression. Which score would lead the nurse to suspect that the client is mildly depressed?
Correct Answer: B
Rationale: The correct answer is B (5). The Geriatric Depression Scale short form ranges from 0 to 15, with higher scores indicating more severe depression. A score of 5 falls within the mild depression range (0-9), suggesting the client is mildly depressed. Scores of 3 (A), 8 (C), and 13 (D) would indicate minimal or no depression (0-4), moderate depression (10-14), and severe depression (15), respectively. Therefore, choice B is the most appropriate score to suspect mild depression in this case.
Question 4 of 5
A hospitalized patient who has been taking an antipsychotic medication for 2 weeks begins pacing and walking throughout the unit. He tells the nurse that he 'cannot sit still.' The nurse documents this finding as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Akathisia. Akathisia is a common extrapyramidal side effect of antipsychotic medications characterized by an inner restlessness and an inability to sit still. In this scenario, the patient's symptoms of pacing and walking throughout the unit, along with feeling like he 'cannot sit still,' align with the definition of akathisia. A: Akinesia refers to a lack of movement and is not consistent with the patient's hyperactivity. B: Dystonia presents with sustained muscle contractions, causing abnormal postures or repetitive movements. C: Pseudoparkinsonism manifests as symptoms similar to Parkinson's disease, such as tremors and rigidity, which are not present in the patient's case.
Question 5 of 5
Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
Correct Answer: C
Rationale: The correct answer is C: Olanzapine. Olanzapine is an antipsychotic medication that acts quickly to help manage aggressive behavior in psychotic patients. It works by blocking certain neurotransmitters in the brain, helping to reduce agitation and aggression. A: Lithium is used for mood stabilization in conditions like bipolar disorder, not for immediate intervention in escalating aggression. B: Trazodone is an antidepressant often used for sleep disturbances, not typically indicated for acute aggression. D: Valproic acid is an anticonvulsant used for seizure disorders, not typically used for immediate aggression control. In summary, Olanzapine is the most appropriate choice for immediate intervention in managing escalating aggressive behavior in a psychotic patient due to its rapid onset and effectiveness in reducing agitation and aggression.