ATI RN
ATI Mental Health Exam III Questions
Extract:
Question 1 of 5
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Keeping promises builds trust and reliability. Language barriers require interpreters, avoiding angry clients damages trust, and clinical terms confuse clients.
Question 2 of 5
During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?
Correct Answer: B
Rationale: The working phase focuses on active interventions, therapy, and progress toward client goals, making it the most intensive phase. Trust, evaluation, and assessment occur in other phases.
Question 3 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 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 discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?
Correct Answer: B
Rationale: Therapeutic milieu refers to the structured environment of a mental health unit, which includes both physical (safety, layout) and psychosocial (staff interactions, routines) components that support healing. Perimeter seating, unrestricted items, and unstructured programming do not align with this concept.