ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?
Correct Answer: B
Rationale: Encouraging clarification of feelings and behaviors fosters insight and exploration, key in the working phase. Solutions (
A) come later, self-help groups (
C) are external, and coping comparisons (
D) are evaluative, not exploratory.
Question 2 of 5
When reviewing the history of mental health care in the United States, a psychiatric-mental health nurse reads about advocating for the moral treatment of the mentally ill and opening of state hospitals. The nurse would attribute this concept of care as the idea supported by:
Correct Answer: B
Rationale: Dorothea Dix advocated for moral treatment and state hospitals in the 19th century, improving mental health care. Freud (
A) focused on psychoanalysis, Peplau (
C) on nursing theory, and Richards (
D) on nursing education.
Question 3 of 5
A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
Correct Answer: D
Rationale: Tardive dyskinesia is a chronic side effect of long-term first-generation antipsychotic use, characterized by involuntary movements like tongue protrusion, lip smacking, and rapid eye blinking. Akathisia involves restlessness, neuroleptic malignant syndrome presents with fever and rigidity, and dystonia causes sustained muscle contractions, not matching the symptoms described.
Question 4 of 5
Which response by the nurse would be most therapeutic when a client expresses anger about being discharged?
Correct Answer: C
Rationale: Acknowledging the client’s anger and inviting them to express their feelings promotes therapeutic communication, fostering trust and understanding. Option A is dismissive, B is judgmental, and D assumes a preference without exploring the client’s emotions.
Question 5 of 5
Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?
Correct Answer: D
Rationale: Nonverbal communication, such as body language and facial expressions, conveys unconscious emotional states and needs, offering critical insights into a client’s condition. Verbal communication may be affected (
A), but nonverbal cues are broader. Guardedness (
B) is not universal, and thoughts vs. behaviors (
C) oversimplifies the issue.