ATI RN
ATI Mental Health Final Questions
Question 1 of 5
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
Correct Answer: A
Rationale: The correct answer is A: Nonverbal communication. The patient's inability to maintain eye contact, lowering of the chin, and looking at the floor are all nonverbal cues that convey important information about the patient's emotional state. Nonverbal communication plays a significant role in expressing feelings and emotions, and in this scenario, the patient's nonverbal cues indicate potential signs of distress or discomfort. The nurse's assessment of these nonverbal behaviors is crucial for understanding the patient's underlying emotions and providing appropriate support and care. Summary: B: A message filter - This choice is incorrect because the patient's nonverbal behaviors are not acting as a filter for the message but are a form of communication themselves. C: A cultural barrier - This choice is incorrect as the patient's nonverbal cues are more indicative of emotional distress rather than a cultural barrier. D: Social skills - This choice is incorrect because the patient's nonverbal behaviors are related to emotional expression rather than social
Question 2 of 5
The nurse is reviewing the medical record of a forensic client who has been found not guilty by reason of insanity. The nurse interprets this to mean which of the following?
Correct Answer: B
Rationale: The correct answer is B because a verdict of not guilty by reason of insanity indicates that the client was unable to control their actions at the time of the crime due to a mental illness. This verdict focuses on the client's mental state during the commission of the offense, rather than their knowledge of right or wrong (Choice A), ability to assist in their defense (Choice C), or the role of mental illness in the crime (Choice D). Therefore, option B directly aligns with the legal concept of insanity defense, which emphasizes lack of control over actions as a result of mental illness.
Question 3 of 5
A patient asks the nurse if exercise and what she eats can impact her mood. The nurse's best response is which of the following?
Correct Answer: D
Rationale: The correct answer is D because extensive research supports that exercise and proper nutrition significantly improve mood symptoms. Regular exercise releases endorphins and reduces stress, leading to improved mood. Proper nutrition provides essential nutrients for brain function and mood regulation. Choices A, B, and C are incorrect as they do not provide evidence-based information like choice D. Choice A dismisses the importance of exercise and nutrition, choice B implies limited significance, and choice C overlooks the essential role of nutrition in mood regulation.
Question 4 of 5
While the nurse is caring for a hospitalized client in the advanced stages of Alzheimer's disease, the client begins to have a catastrophic reaction to feeding himself. Which of the following should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Remain calm and reassuring. In this situation, the nurse should first prioritize maintaining a calm and reassuring presence to help de-escalate the situation. Remaining calm can help prevent further agitation in the client. Restraining the client (B) could escalate the situation and should only be used as a last resort for safety. Drawing the curtains (C) may not address the immediate issue of the client's distress. Offering to feed the client (D) may be a helpful intervention, but establishing a calm environment and approach should come first.
Question 5 of 5
What is a nursing implication derived from the anti-psychiatry movement?
Correct Answer: C
Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.