ATI RN
Mental Health ATI Book Questions
Question 1 of 5
Which patient statement does not demonstrate an understanding of a suicide safety plan?
Correct Answer: A
Rationale: The correct answer is A because it shows a lack of understanding of a suicide safety plan. This statement indicates an awareness of triggers but does not demonstrate any coping strategies or steps to prevent suicide. In contrast, choices B, C, and D all show elements of a safety plan - engaging in physical activity, relying on a supportive individual, and carrying a suicide prevention resource. In summary, A does not include any proactive measures to address suicidal thoughts compared to B, C, and D.
Question 2 of 5
The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. Which nursing diagnosis would the nurse most likely identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Ineffective Health Maintenance related to homelessness. This is the priority nursing diagnosis because the client's foot infection needs immediate attention to prevent complications. Ineffective Health Maintenance addresses the client's inability to manage health and seek medical care, which is crucial in this case. A: Social Isolation is not the priority as the client is receiving regular care and interaction in the mobile clinic. C: Chronic Low Self-Esteem may be a concern but is not as urgent as addressing the foot infection. D: Imbalanced Nutrition is not directly related to the client's current issue of a foot infection.
Question 3 of 5
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
Correct Answer: B
Rationale: The correct answer is B: Prescribe psychotropic medication. Advanced practice nurses, such as psychiatric nurse practitioners, have prescriptive authority to prescribe medications in psychiatric settings. This intervention requires advanced knowledge and specialized training. Conducting mental health assessments (A) and establishing therapeutic relationships (C) are within the scope of practice for staff nurses and do not require advanced practice credentials. Individualizing nursing care plans (D) is also a standard nursing practice that does not necessarily require advanced practice training. In summary, prescribing psychotropic medication is the additional intervention that an advanced practice nurse would perform in a psychiatric unit, distinguishing their role from that of a staff nurse.
Question 4 of 5
Which is an example of appropriate psychosexual development?
Correct Answer: A
Rationale: The correct answer is A because according to Freud's psychosexual development theory, the oral stage occurs from birth to 18 months. During this stage, infants derive pleasure from sucking and biting, hence using a pacifier to relieve anxiety is a normal behavior. Choices B, C, and D are incorrect because they describe behaviors that are not developmentally appropriate for the respective age groups according to Freud's theory. Choice B refers to the latency stage (6 to puberty), choice C suggests the phallic stage (3 to 6 years), and choice D indicates the anal stage (18 months to 3 years).
Question 5 of 5
The nurse is watching a video that depicts a patient and therapist interacting. The patient is asked to say whatever comes to his mind. The nurse identifies this as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Free associations. In this scenario, the patient is asked to say whatever comes to his mind without censoring or filtering their thoughts. This technique is commonly used in psychoanalysis, where the therapist analyzes the patient's free associations to gain insight into their unconscious thoughts and emotions. Dream work (A) involves the interpretation of dreams, not verbal interactions. Gestalt therapy (C) focuses on the present moment and holistic experience, not free associations. Classical conditioning (D) is a form of learning through association between stimuli and responses, not verbal expression.