ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
Which of the following clients retain the right to give informed consent? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment. Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent. Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent. Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.
Question 2 of 5
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Correct Answer: D - Establish a regular time for going to bed and getting up in the morning. Rationale: Setting a consistent bedtime and wake-up time helps regulate the body's internal clock, promoting better sleep quality. This routine helps synchronize the body's natural sleep-wake cycle, making it easier to fall asleep and wake up feeling refreshed. Consistency reinforces the body's circadian rhythm, enhancing overall sleep hygiene. Summary: A: Eating right before bed can disrupt sleep by causing indigestion and discomfort. B: Exercising right before bedtime can stimulate the body and mind, making it harder to fall asleep. C: Drinking tea before bed may contain caffeine or disrupt the need to wake up for bathroom trips, affecting sleep quality.
Question 3 of 5
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Women and men experience anger differently due to societal norms and expectations. 2. Research shows women may express anger less overtly but experience it at similar rates. 3. Recognizing gender differences in anger is crucial for healthcare professionals. 4. Answer D is correct as it highlights the importance of understanding gender disparities in anger expression. Summary: A: Incorrect - Anger, aggression, and violence are related but not necessarily points along a continuum. B: Incorrect - Precision of terms is not the main focus when discussing anger, aggression, and violence. C: Incorrect - Anger is not always a knee-jerk reaction; it can be complex and multifaceted. D: Correct - Women experience anger differently from men, making this statement appropriate for nursing education.
Question 4 of 5
A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
Correct Answer: C
Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.
Question 5 of 5
Jimmy has been hospitalized three times for schizophrenia. Typically, he is very disorganized, spends his money irresponsibly, and loses his housing when he does not pay the rent. In turn, Jimmy cannot be located by his case manager, which leads to treatment nonadherence and relapse. Which response would be most therapeutic? Select all that apply.
Correct Answer: C
Rationale: Rationale: Option C is the most therapeutic response because long-acting injectable antipsychotic medication can help address Jimmy's treatment nonadherence, as he may forget or choose not to take oral medications. This option also involves collaboration with his prescribing clinician, ensuring a comprehensive approach to his care. Summary: A: This response focuses on punishment rather than therapeutic intervention, which may worsen Jimmy's symptoms. B: While having a guardian could help manage his finances, it does not directly address his treatment nonadherence and relapse issues. D: Allowing periods of homelessness as a natural consequence is not a therapeutic approach and may exacerbate Jimmy's situation.