ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that April is getting more wound up and losing self-control despite being put in time-out multiple times a day. This suggests that time-out is no longer effective in helping April self-reflect or manage her behavior. Continuing to use an ineffective tool can be detrimental to April's well-being and may lead to escalating behavior issues.
Choices A, C, and D are incorrect because they do not address the fact that time-out is no longer effective in this situation. A suggests that time-out is still important, C assumes April enjoys time-out, and D jumps to a more extreme measure without exploring other alternatives.
Question 2 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise, posing an immediate threat to the client's life. Ensuring adequate oxygenation is crucial. Impaired comfort (
A) and Ineffective coping (
D) are important but secondary to the client's physiological needs. Risk for injury (
B) may be a concern but is not immediate in this scenario.
Question 3 of 5
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this time, crucial information is being transferred between nurses, which is critical for patient care. Miscommunication can lead to errors in medication administration, treatment plans, and patient assessments. Nurses must be alert to ensure accurate and complete information transfer.
Summary of other choices:
B: Admission interviews - Important for gathering initial patient information but typically less critical than shift changes.
C: One-to-one conversations with patients - Important for building rapport but less likely to result in significant harm if communication errors occur.
D: Conversations with patient families - Essential for involving families in care, but errors may not directly harm patients as much as shift report errors.
Question 4 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D: They are not actually ill. Patients with anosognosia lack awareness of their illness, leading them to deny their condition and refuse treatment. They genuinely believe they are not sick, making it challenging to accept medication.
Choice A is incorrect as it assumes a belief in the medication's lack of efficacy.
Choice B is incorrect because it introduces a paranoid belief about nurses.
Choice C is incorrect as it focuses on fear of side effects rather than denial of illness.
Question 5 of 5
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development?
Correct Answer: C
Rationale: During the working phase of group development, the focus is on achieving the group's goals.
Choice C is correct as it involves discussing ways to use new coping skills learned, which aligns with the working phase where members actively engage in problem-solving and skill-building. This approach helps group members apply their learning to real-life situations and promotes personal growth.
Choice A is incorrect because establishing rapport typically occurs during the initial orientation phase.
Choice B is incorrect as clarifying roles and responsibilities is more relevant to the initial and transition phases.
Choice D is incorrect because helping clients identify problem areas is usually part of the exploration phase, not the working phase where active problem-solving occurs.