ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
Which nurse-client communication-centered skill implies"respect"?
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Choice A emphasizes the nurse's regard for the client as a person of worth, emphasizing respect. 2. It highlights valuing and accepting the client without any conditions or reservations. 3. Demonstrates the core aspect of respect in communication, acknowledging the client's intrinsic value. 4. Reflects a fundamental principle of client-centered care, fostering a positive and supportive relationship. Summary of why other choices are incorrect: B. While understanding the client's perspective is important, it focuses more on empathy than respect. C. Self-congruence and authenticity are important but do not directly address respect for the client. D. Using specific terminology is valuable for clarity but does not directly relate to demonstrating respect for the client as a person of worth.
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
A patient was admitted to the psychiatric unit 3 days ago because of suicidal ideation. His suicidal risk has lessened considerably, and he currently denies having any desire to kill himself. In addition, he is able to identify reasons why he wants to be alive. Which nursing intervention would be most appropriate at this time?
Correct Answer: B
Rationale: The correct answer is B: Developing a personal plan for managing suicidal thoughts when they occur. This is the most appropriate intervention at this time because the patient's suicidal risk has lessened considerably and he is able to identify reasons for wanting to live. By creating a personalized plan, the patient can learn coping strategies and techniques to manage suicidal thoughts if they resurface in the future. This empowers the patient to take control of their mental health and provides them with tools to prevent future crises. Incorrect Choices: A: Assigning nursing staff to stay with him during his suicidal crisis - This is not necessary as the patient's suicidal risk has considerably lessened. C: Advising the patient that he should consider electroconvulsive therapy treatments - This is an extreme intervention that is not warranted based on the current improvement in the patient's condition. D: Administering psychotropic drugs that decrease the patient's serotonin levels - This intervention is not appropriate as the patient's current state does not indicate the need for immediate
Question 4 of 5
Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't participate because I don't speak the language very well." Patient will
Correct Answer: D
Rationale: The correct answer is D: select and participate in one group activity per day. This outcome directly addresses the nursing diagnosis of impaired social interaction and sociocultural dissonance by promoting engagement in social activities. By actively participating in a group activity, the patient can practice social skills and interact with others, thus improving social interaction. Choices A and B focus on individual skills rather than social interaction. Choice C relates to decision-making rather than social interaction. Therefore, choice D is the most appropriate outcome to address the patient's nursing diagnosis.
Question 5 of 5
After checking a patient's blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Correct Answer: C - Usually, you can anticipate that you will begin to react to things more slowly. Rationale: 1. Aging is a natural process that affects everyone. 2. As people age, physiological changes occur, impacting reaction times. 3. Slower reactions are common due to changes in the nervous system. 4. This response is appropriate as it addresses a normal aging change. Summary: A - Incorrect: Overly reassuring, does not acknowledge normal aging changes. B - Incorrect: Personality may remain stable, intelligence does not necessarily lessen. D - Incorrect: Unrealistic, generalized statement about becoming childlike.