ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
Which nursing intervention would establish trust with a client who is experiencing concrete thinking?
Correct Answer: A
Rationale: The correct answer is A because consistency in adhering to unit guidelines provides a structured environment that can help a client experiencing concrete thinking feel safe and secure. It establishes predictability, which is crucial for building trust. Calling the client by name (B) is a common courtesy but may not directly address the client's concrete thinking. Sharing what the client is feeling (C) may not be effective as the client may have difficulty understanding or processing emotions. Teaching the meaning of idioms (D) is irrelevant to establishing trust with a client experiencing concrete thinking.
Question 2 of 5
A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. The nurse should
Correct Answer: D
Rationale: The correct answer is D because discussing the anger with a clinician during a supervisory session allows the nurse to process and understand their emotions in a professional setting. This approach promotes self-awareness, reflection, and potential strategies for managing emotions constructively. Choice A (suppressing anger) can lead to unresolved feelings impacting patient care. Choice B (expressing anger openly) can harm the therapeutic relationship. Choice C (asking to reassign the patient) avoids addressing the underlying issue and may not be feasible in all situations.
Question 3 of 5
A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intimidation. Stalking is a crime that involves persistent and unwanted attention, behavior, or contact that instills fear or intimidation in the victim. Stalking is not necessarily always accompanied by physical violence (choice A), jealousy (choice C), or fear (choice D). Intimidation, on the other hand, accurately captures the coercive and fear-inducing nature of stalking behavior. Stalking behavior aims to control, scare, or manipulate the victim through persistent unwanted contact and surveillance.
Question 4 of 5
The nurse is assessing a group of patients on an inpatient psychiatric unit. The patient's history for which of the following would the nurse identify as the strongest indicator of risk for violence?
Correct Answer: D
Rationale: The correct answer is D, violent behavior. This is the strongest indicator of risk for violence because past behavior is a significant predictor of future behavior. Patients with a history of violent behavior are more likely to exhibit violent tendencies in the future. Assessing for this history allows the nurse to implement appropriate interventions to prevent harm to self or others. Incorrect Choices: A: Panic disorder - Panic disorder is characterized by recurrent panic attacks and is not directly associated with an increased risk of violence. B: Problematic anxiety - While anxiety can contribute to agitation and irritability, it is not as strong of an indicator for violence compared to a history of violent behavior. C: Somatoform disorder - Somatoform disorder involves physical symptoms with no identifiable medical cause and is not typically associated with an increased risk of violence.
Question 5 of 5
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, These pills are making me sick. I think I'm getting a brain tumor because of the headaches. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Rationale: 1. Correct Answer (D): This response educates the client about a potential side effect of the medication, linking headaches to fluoxetine. It addresses the client's concern directly and provides accurate information. 2. Incorrect Answer (A): Focusing on rituals doesn't address the client's specific complaint of headaches and brain tumor fears. 3. Incorrect Answer (B): Asking about hand washing is unrelated to the client's symptoms of headaches and brain tumor fears. 4. Incorrect Answer (C): Inquiring about relaxation exercises doesn't address the client's concern about medication side effects causing headaches.