ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with
Correct Answer: D
Rationale: The correct answer is D because assertive community treatment (ACT) is designed for individuals with severe mental illnesses, such as schizophrenia, who have difficulty managing their symptoms and functioning independently. This patient with schizophrenia and frequent hospitalizations would benefit from the intensive, community-based support provided by ACT teams. Choice A is incorrect as a phobic fear of crowded places does not typically require the level of intensive support provided by ACT. Choice B is incorrect as a single episode of major depressive disorder may not warrant the ongoing, comprehensive care offered by ACT. Choice C is incorrect as a catastrophic reaction to a tornado is likely a situational crisis that may be better addressed through crisis intervention or trauma-focused therapy, rather than ACT.
Question 2 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 3 of 5
The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, 'It's been so difficult taking care of our son. We need a break. But he needs constant supervision.' Which of the following would be appropriate for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Respite residential care. This option allows the parents to take a break from caregiving while ensuring their son receives necessary supervision. Respite care offers temporary relief for caregivers, preventing burnout. Partial hospitalization (A) involves structured treatment during the day, not suitable for caregiver respite. Acute inpatient care (B) is for crisis situations, not for caregiver relief. Intensive outpatient programs (D) require the patient to attend frequent therapy sessions, not giving the parents a break.
Question 4 of 5
A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?
Correct Answer: C
Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.
Question 5 of 5
A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
Correct Answer: B
Rationale: The correct answer is B: Help the family find funding and manpower to patch and repair the roof of their home. This is the highest priority intervention because it addresses the immediate physical safety and well-being of the family. By repairing the roof, the family will be protected from the elements, preventing further health risks and improving their living conditions. The other choices are incorrect: A: Making immunization appointments is important but not the highest priority in this situation as the family's immediate safety and living conditions are compromised. C: Determining educational readiness is not a priority when the family's basic needs such as shelter are not being met. D: Reporting the family for child abuse is not appropriate in this scenario as the family's situation is due to poverty and lack of resources, not intentional neglect.