ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
Correct Answer: C
Rationale: The correct answer is C because during the first interview with a patient with a psychiatric disorder, it is crucial for the nurse to address relationship parameters to establish a therapeutic alliance, discuss the contract to clarify roles and expectations, ensure confidentiality to build trust, and explain termination to manage expectations. These aspects lay the foundation for a successful therapeutic relationship. A: Trust, congruence, attitudes, and boundaries - While trust and boundaries are important, they are part of relationship parameters addressed in choice C. Congruence and attitudes are more about the nurse's behavior than issues to address with the patient initially. B: Goals, resistance, unconscious motivations, and diversion - These are important aspects, but they are more relevant in later stages of therapy after a strong therapeutic alliance has been established. D: Transference, countertransference, intimacy, and developing resources - These are advanced concepts that may be addressed later in therapy as trust and rapport are established.
Question 2 of 5
The nurse is working with a potentially violent patient in a community clinic. Which of the following would the nurse implement to minimize personal risk?
Correct Answer: B
Rationale: The correct answer is B: Staying close to a door. By staying close to a door, the nurse can have a quick exit strategy in case the situation escalates. This allows the nurse to maintain a safe distance from the potentially violent patient and increases the chances of a swift escape if needed. Using protective devices (A) can be helpful but may not always be accessible in a community clinic setting. Keeping the door closed for privacy (C) may limit escape routes and hinder quick exit. Wearing inexpensive jewelry to distract the patient (D) is not a safe or effective strategy in managing a potentially violent situation.
Question 3 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 4 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.
Question 5 of 5
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
Correct Answer: A
Rationale: The correct answer is A: Risk for Injury. Insomnia and sleep deprivation can lead to cognitive impairment and physical fatigue, increasing the risk of accidents and injuries. The nurse's priority is ensuring the client's safety. Option B, Ineffective Coping, focuses on emotional response rather than immediate safety concerns. Option C, Deficient Knowledge, does not directly address the client's current safety issue. Option D, Anxiety, is important but may not pose an immediate threat to safety compared to the risk of injury from sleep deprivation.