ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 9
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 9
A nurse is preparing a presentation on sleep disorders for a community group. Which of the following would the nurse include when explaining the differences between narcolepsy and obstructive sleep apnea syndrome?
Correct Answer: B
Rationale: Step 1: Narcolepsy is a neurological disorder characterized by excessive daytime sleepiness and sudden episodes of sleep. Obstructive sleep apnea syndrome is a condition where breathing repeatedly stops and starts during sleep. Step 2: People with narcolepsy awaken from sleep feeling unrefreshed, not rested and replenished as mentioned in choice B. Step 3: On the other hand, individuals with obstructive sleep apnea syndrome often wake up feeling tired due to disrupted sleep from breathing pauses. Step 4: Therefore, the statement in choice B correctly contrasts the post-nap feelings of individuals with narcolepsy and obstructive sleep apnea syndrome. Step 5: Choices A, C, and D are incorrect as they do not accurately differentiate between the two disorders and may mislead the audience.
Question 3 of 9
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.
Question 4 of 9
A client has been involuntarily committed to a psychiatric unit. During the delivery of the evening dinner trays, the client elopes from the unit, gets on a bus, and crosses into a neighboring state. Which nursing intervention is appropriate in this situation?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Notify the client's physician: It is crucial to inform the client's physician immediately about the elopement to ensure appropriate medical oversight. 2. Follow facility policy: Following established protocols is essential to manage the situation effectively and maintain the client's safety. 3. Document the incident: Detailed documentation is necessary for legal and clinical purposes to track the event's specifics and subsequent actions taken. 4. Review elopement precautions: By reviewing and potentially updating elopement prevention strategies, the facility can enhance security measures to prevent future incidents. Summary: A: Involuntarily admitting the client to another facility without proper evaluation and consent is not appropriate and may violate the client's rights. C: Sending a therapeutic assistant alone to retrieve the client can be unsafe and may not address the underlying reasons for elopement. D: Involving the police in another state could escalate the situation and may not prioritize the client's mental health needs.
Question 5 of 9
A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?
Correct Answer: C
Rationale: The correct answer is C: Participating in relationships in which the client has control. In borderline personality disorder, individuals often struggle with issues of control and impulsivity. They may seek relationships where they can exert control to manage intense emotions and fear of abandonment. This behavior is a common manifestation of the disorder. Choices A and B are less likely as individuals with borderline personality disorder may have difficulties with group participation and openly expressing feelings due to fear of rejection or abandonment. Choice D is incorrect as individuals with this disorder often struggle with personal boundaries and may violate them in relationships.
Question 6 of 9
Which statement demonstrates a well-structured attempt at limit setting?
Correct Answer: A
Rationale: The correct answer is A because it clearly states the behavior that is unacceptable (hitting when angry) and sets a clear boundary. It focuses on the specific action and its consequences, promoting accountability. Other choices lack specificity, clarity, or promote stereotypes. Choice B lacks clarity on expected behavior. Choice C lacks specificity and is a command rather than a clear limit. Choice D uses a generalization and promotes a stereotype rather than addressing the behavior directly.
Question 7 of 9
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 8 of 9
While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?
Correct Answer: A
Rationale: The most appropriate statement is "This must be scary for you" (A) because it acknowledges the patient's feelings of isolation and anxiety, showing empathy and validation. This helps build rapport and trust with the patient. Choice B is dismissive and minimizes the patient's feelings. Choice C implies the nurse fully understands, which may not be true. Choice D puts the responsibility on the patient to calm down before help is offered, which can escalate the situation.
Question 9 of 9
The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?
Correct Answer: D
Rationale: Step 1: The nurse's priority is to address the client's mental health and behavioral issues to provide appropriate treatment and support. Step 2: Focusing on mental health and behavior helps establish a therapeutic relationship and assess the client's immediate needs. Step 3: Discussing specific crimes may trigger distress or legal concerns, hindering the therapeutic process. Step 4: Avoiding detailed discussions of crimes maintains client confidentiality and respects their dignity. Summary: Option D is correct because it prioritizes mental health assessment over discussing specific crimes, ensuring a client-centered approach and fostering a safe therapeutic environment. Choices A, B, and C are incorrect as they prioritize irrelevant or potentially harmful information over the client's well-being.