ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The correct answer is D: Escort the client to his room. This intervention is appropriate as it addresses the behavior causing annoyance while also ensuring the client's needs are met in a compassionate and non-punitive manner. By escorting the client to his room, the nurse can provide a safe and quiet environment for the client to calm down and reduce the echolalia behavior. This approach respects the client's dignity and promotes a therapeutic environment. The other choices are incorrect because avoiding recognizing the behavior (
A) does not address the issue, isolating the client (
B) may worsen the client's symptoms and social isolation, administering a sedative (
C) should only be done as a last resort due to potential side effects and ethical considerations.
Question 2 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct response is B because it reflects active listening and empathy by acknowledging the patient's non-verbal cues. By pointing out the discrepancy between the patient's words and body language, it encourages further exploration of the patient's feelings.
Choice A dismisses the patient's non-verbal cues and provides a superficial reassurance.
Choice C jumps to conclusions without exploring the underlying emotions.
Choice D imposes assumptions on the patient without allowing them to express themselves.
Question 3 of 5
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding of the importance of congruence between verbal and nonverbal communication in validating responses. Checking for alignment between verbal and nonverbal cues helps ensure accurate interpretation of the patient's message. Option A is incorrect as it states a general observation without emphasizing the significance of congruence. Option C is incorrect because assuming emotions based solely on body language can lead to misinterpretations. Option D is incorrect as it undermines the complexity and importance of nonverbal communication.
Question 4 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. This is because MAO inhibitors have a higher risk of interactions with certain foods and other medications, which can be challenging for a patient with a mild intellectual disability to manage due to potential cognitive limitations. Selective serotonin reuptake inhibitors (
Choice
A) and Serotonin and norepinephrine reuptake inhibitors (
Choice
C) are generally safer options and are commonly used in patients with depression, including those with intellectual disabilities. Choosing "All of the above" (
Choice
D) is incorrect as it includes options that are not suitable for a patient with mild intellectual disability.
Question 5 of 5
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
Correct Answer: A
Rationale: The correct answer is A: Acute confusion. This is the priority problem because the client is disoriented, disorganized, and confused, indicating altered mental status. Addressing acute confusion takes precedence to ensure the client's safety and well-being. Ineffective community coping (
B) may be a concern, but addressing the client's altered mental status is crucial. Disturbed sensory perception (
C) and self-care deficit (
D) may be secondary to the client's acute confusion.