ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: The correct answer is D: Teach the client to develop a plan for daily structured activities. This intervention addresses the symptoms of psychomotor retardation, hypersomnia, and amotivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can counteract the symptoms and improve functioning. Encouraging exercise (
A) may be beneficial, but developing a structured plan for daily activities is more directly targeted at addressing the specific symptoms presented. Developing a list of pleasurable activities (
B) may not provide the necessary structure and may not address the underlying issues contributing to the client's symptoms. Providing education on methods to enhance sleep (
C) may be helpful in addressing the hypersomnia symptom but may not fully address all aspects of the client's presentation.
Question 2 of 5
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Premature termination of services. When there is a lack of community-based resources and long waiting lists for services in pediatric mental health, it often leads to premature termination of services. This is because families may become discouraged or face obstacles in accessing consistent care, resulting in discontinuity of treatment. This can have negative consequences on the child's mental health outcomes.
Choice A is incorrect because it focuses on underserving specific demographics rather than the consequences of limited resources.
Choice B is incorrect as increased stress in the family unit may be a result of the lack of resources but is not a direct consequence.
Choice C is incorrect since the lack of resources does not equate to increased funding.
Question 3 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis?
Correct Answer: D
Rationale: The correct answer is D: Call for transportation to the hospital. In this crisis situation, the priority is ensuring that the employee can reach her child at the hospital quickly. By calling for transportation to the hospital, the nurse is taking immediate action to support the employee in being with her child. This response shows empathy and practical assistance, addressing the urgent need of the situation.
Choice A: Tell me what you think should happen - This response puts the decision-making burden on the employee when she is in distress and needs guidance.
Choice B: How serious was the collision? - While gathering information is important, in this scenario, the immediate need is to support the employee in reaching her child at the hospital.
Choice C: What do you think you should do? - Similar to choice A, this response does not provide direct assistance in a crisis situation.
In summary, choice D is the best because it prioritizes immediate action to help the employee be with her child, while the other choices either shift
Question 4 of 5
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Screening a group of males between the ages of 15 and 25 for early symptoms. This intervention is well chosen because schizophrenia typically emerges in late adolescence to early adulthood, with males having a higher risk during this age range. Screening for early symptoms allows for early detection and intervention, improving outcomes.
Choice B is incorrect as it targets a different population group with substance use issues, not specifically at high risk for schizophrenia.
Choice C is incorrect as it focuses on coping skills for an age group less at risk for developing schizophrenia.
Choice D is incorrect as it targets developmentally delayed children, not a population at high risk for schizophrenia.
Question 5 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is vital in determining the most appropriate treatment setting because the patient's past experiences can influence their comfort, adherence, and response to treatment. If the patient has had positive experiences with either setting, it may guide the team in selecting the most effective option.
A: Is the patient expressing suicidal thoughts? - While this is an important consideration for safety, it does not directly determine the treatment setting.
B: Does the patient have intact judgment and insight into his situation? - This question is important for assessing the patient's capacity for decision-making, but it does not specifically relate to the choice between outpatient or inpatient settings.
D: Does the patient require a therapeutic environment to support the management of psychotic symptoms? - This question is relevant but does not address the patient's past experiences with treatment settings, which is crucial in determining the most suitable option.