ATI RN
Mental Health Proctored ATI Questions
Question 1 of 9
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B because summarizing the essence of the patient's comments in your own words shows active listening, understanding, and empathy. This helps the patient feel heard and validated. Choice A may impose the tutor's opinion on the patient, undermining therapeutic communication. Choice C disrupts the patient's thought process and may inhibit them from opening up further. Choice D focuses on the tutor's approval rather than the patient's feelings, which can be counterproductive in a therapeutic setting.
Question 2 of 9
A nurse is giving a public presentation on the topic of forensic psychiatric care at a community center in a community that is considering building a forensic facility. The nurse is explaining about how someone who is found to be unfit to stand trial is subsequently hospitalized in a forensic mental health facility. A member of the audience asks, 'What is the purpose of the hospitalization?' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Efforts are focused on helping the client become 'fit' to stand trial. This is because when someone is found unfit to stand trial, the goal of hospitalization in a forensic mental health facility is to provide treatment and interventions aimed at restoring the individual's competency to participate in the legal proceedings. This is in line with the legal and ethical principles of ensuring that individuals have the capacity to understand the charges against them and assist in their defense. Options A, C, and D are incorrect because they do not address the primary purpose of hospitalization for individuals found unfit to stand trial, which is to restore their competency for legal proceedings.
Question 3 of 9
A nurse is providing care to several chronically ill children. Which of the following would the nurse identify as having the greatest risk for developing a psychiatric problem?
Correct Answer: B
Rationale: The correct answer is B: 5-year-old with cerebral palsy. Children with cerebral palsy often face challenges in mobility, communication, and social interactions, which can contribute to the development of psychiatric problems. The physical limitations and the impact on daily activities can lead to feelings of frustration, isolation, and low self-esteem, increasing the risk of psychiatric issues. The other choices (A, C, D) do not inherently pose the same level of risk for developing psychiatric problems as cerebral palsy. Children with diabetes mellitus (A) can manage their condition with proper care, children with chronic renal disease (C) may face physical health challenges but not necessarily psychiatric problems, and a heart murmur (D) is a physical condition that typically does not directly affect mental health.
Question 4 of 9
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 5 of 9
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 6 of 9
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizoaffective disorder. This is because the client is experiencing both psychotic symptoms (hearing voices, feeling followed) and mood symptoms (major depressive episode). Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. A: Paranoid schizophrenia is incorrect because the client's symptoms do not solely fit the criteria for paranoid schizophrenia, as there are also depressive symptoms present. B: Undifferentiated schizophrenia is incorrect as the client's symptoms do not fully align with the criteria for schizophrenia and there is a clear mood component present. C: Brief psychotic disorder is incorrect as the client's symptoms have been present for more than the specified duration for this disorder. In summary, the presence of both psychotic and mood symptoms over time points towards the diagnosis of schizoaffective disorder.
Question 7 of 9
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.
Question 8 of 9
Which is a nursing intervention that would promote the development of trust in the nurse-client relationship?
Correct Answer: A
Rationale: The correct answer is A. This is because providing clear reasons for policies and procedures helps establish transparency and fosters trust in the nurse-client relationship. By explaining the rationale behind actions taken, the nurse shows respect for the client's autonomy and promotes understanding. Choice B focuses on interpersonal communication but may not directly contribute to trust-building. Choice C involves empathy but does not necessarily directly address trust. Choice D involves collaboration but may not specifically address trust-building through transparent communication.
Question 9 of 9
A nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first?
Correct Answer: B
Rationale: The correct answer is B because lethargy and confusion in a client with gastroenteritis may indicate dehydration or electrolyte imbalance, which can lead to serious complications. The nurse should report this finding first to prevent deterioration. Choice A is incorrect because thick productive cough and thirst in a client with cystic fibrosis are common symptoms and may not require immediate provider notification. Choice C is incorrect because a morning fasting blood glucose of 185 mg/dL in a client with diabetes mellitus is elevated but not considered a critical finding that requires immediate reporting. Choice D is incorrect because pain 15 minutes after receiving an oral analgesic is a common occurrence and does not indicate an urgent need for provider notification.