ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
Correct Answer: D
Rationale: Privilege systems use behavioral theories, reinforcing desired behaviors with rewards (operant conditioning). Developmental theories focus on growth stages, humanistic on self-actualization, and cognitive on thought processes, none central to privilege systems.
Question 2 of 5
A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?
Correct Answer: D
Rationale: Checking the mouth ensures medication adherence, critical for paranoid schizophrenia due to potential mistrust. Feeding assistance is unnecessary, touch may heighten paranoia, and rotating staff disrupts trust.
Question 3 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 4 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Quick-release ties prioritize safety for emergency removal. Checking every 2 hours, securing to the bed frame, and ensuring two-finger space are correct practices, not the alternatives.
Question 5 of 5
During group therapy, the nurse observes that a client is pacing, agitated, and presenting with aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on the observations, the nurse's immediate priority of care is to:
Correct Answer: B
Rationale: Safety is the priority given the client’s aggression, protecting both the client and others. Controlled environments or de-escalation follow, and comfort is secondary to preventing harm.