ATI RN
ATI Mental Health Exam III Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, 'I don't know why you think I need therapy. I am fine without it.' Which of the following responses by the nurse indicates a therapeutic response?
Correct Answer: D
Rationale: This open-ended, client-centered response encourages discussion and understanding of the client’s perspective. Other responses assume fear, minimize concerns, or shift focus.
Question 2 of 5
Which situation is an exception to the rule of maintaining patient confidentiality?
Correct Answer: C
Rationale: Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others, under the duty to warn and protect principle. Sharing with family without consent, public discussions, or unauthorized providers violates confidentiality.
Question 3 of 5
A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: PADs allow clients to outline treatment preferences, including medications and providers, for use if they lose capacity. Other options misrepresent PADs’ purpose or use.
Question 4 of 5
Which of the following is an example of an adverse childhood experience (ACE)?
Correct Answer: B
Rationale: Physical abuse is a recognized ACE, leading to long-term health consequences. Other options, while upsetting, do not meet the criteria for ACEs unless tied to severe trauma.
Question 5 of 5
A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?
Correct Answer: B
Rationale: Using therapeutic silence gives the client time to respond, fostering rapport. Avoiding eye contact, closed questions, or music distracts from engagement.