ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)?
Correct Answer: B
Rationale: The correct answer is B: Care is centered on the patient. QSEN emphasizes patient-centered care in the treatment of mental illness. This approach involves understanding and addressing the patient's unique needs, preferences, and values to provide individualized and effective care. It focuses on fostering a therapeutic relationship between healthcare providers and patients to enhance treatment outcomes. Explanation of why other choices are incorrect: A: All genomes are unique - This statement is not directly related to the specific component of treatment recognized by QSEN. C: Healthy development is vital to mental health - While healthy development may contribute to mental health, it is not the specific component highlighted by QSEN. D: Recovery occurs on a continuum from illness to health - While recovery is an important aspect of mental health treatment, it is not the specific component emphasized by QSEN, which is patient-centered care.
Question 2 of 5
A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?
Correct Answer: D
Rationale: The correct answer is D: "Do you find it difficult to control your worrying?" This question is most appropriate because it directly assesses one of the key symptoms of generalized anxiety disorder, which is excessive and uncontrollable worrying. By asking this question, the nurse can gather crucial information to help confirm the diagnosis. A: "Have you been a victim of a crime or seen someone badly injured or killed?" - This question is more relevant to assessing symptoms of post-traumatic stress disorder rather than generalized anxiety disorder. B: "Do you feel especially uncomfortable in social situations involving people?" - This question is more indicative of social anxiety disorder rather than generalized anxiety disorder. C: "Do you repeatedly do certain things over and over again?" - This question is more aligned with symptoms of obsessive-compulsive disorder rather than generalized anxiety disorder.
Question 3 of 5
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
Correct Answer: D
Rationale: The correct answer is D: Axis IV. Axis IV in DSM-IV is used to assess psychosocial and environmental stressors impacting the individual. Mrs. Green's recent experiences of her dog's death and her mother's cancer diagnosis are significant stressors that would be categorized under Axis IV. These stressors can contribute to her current mental health condition and treatment plan. Choice A (Axis I) refers to clinical disorders, which are not directly related to external stressors. Choice B (Axis II) pertains to personality disorders, which are not the focus here. Choice C (Axis III) involves general medical conditions, which are not the primary concern in this scenario. Hence, the correct choice is D as it specifically addresses the psychosocial stressors impacting Mrs. Green's mental health.
Question 4 of 5
The nurse is in the orientation phase of the nurse-patient relationship with a patient diagnosed with a mental disorder. When interviewing the patient during this first encounter, which information would be most important for the nurse to obtain about the patient?
Correct Answer: C
Rationale: Step 1: In the orientation phase, the main focus is establishing trust and rapport with the patient. Step 2: Understanding the patient's perception of the problem is crucial in building a therapeutic relationship. Step 3: By knowing their perception, the nurse can tailor interventions to address the patient's specific needs. Step 4: This information helps in formulating an individualized care plan and promoting patient engagement. Summary: Option C is correct as it aligns with the therapeutic communication goal in the orientation phase. Options A, B, and D are important but not as crucial in the initial phase of the nurse-patient relationship.
Question 5 of 5
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
Correct Answer: A
Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.