ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?
Correct Answer: B
Rationale: The correct answer is B. Remaining calm and using a matter-of-fact approach is important to provide reassurance and a sense of security to the client. By staying composed, the nurse can help the client feel supported and understood, reducing her anxiety. This approach helps to establish trust and promote effective communication.
A: While assisting the client in developing alternative coping skills is important, in this acute situation, immediate reassurance and support are needed first.
C: Asking the client why she is anxious may be overwhelming and may not provide immediate relief.
D: Administering a sedative should be a last resort and should not be the initial intervention in this case.
Question 2 of 5
What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?
Correct Answer: E
Rationale: The correct answer is E. Asking about how much sleep the woman usually gets each night will provide the nurse with information regarding her circadian rhythms and their effects on her quality of life. Circadian rhythms are the body's natural cycles that influence sleep-wake patterns. By understanding her sleep habits, the nurse can assess if she is getting enough rest at the right times, which directly impacts her quality of life.
Choices A, B, C, and D are incorrect as they do not directly relate to circadian rhythms or sleep patterns.
Choice A focuses on general well-being, choice B on cardiac health, choice C on past illnesses, and choice D on urinary problems. These questions are not specific to circadian rhythms and do not address the effects on quality of life.
Question 3 of 5
What assessment question should the nurse ask when attempting to determine a teenager’s mental health resilience? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: How do you feel about talking to a mental health counselor? This question is crucial in assessing a teenager's mental health resilience as it directly addresses their willingness to seek help and utilize mental health resources. By asking this question, the nurse can gauge the teenager's attitude towards seeking professional support, which is an important indicator of their ability to cope with challenges. It also opens up a conversation about mental health awareness and destigmatizes seeking help.
Other choices are incorrect:
A: How did you cope when your father deployed with the Army for a year in Iraq? - This question focuses on a specific past event and does not provide insight into the teenager's current mental health resilience.
B: Who did you go to for advice while your father was away for a year in Iraq? - This question explores the teenager's support system but does not directly assess mental health resilience.
D: Where do you see yourself in 10 years? - This question is more related to future goals
Question 4 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in schizophrenia poses the greatest risk for injury to others as it can lead to aggressive or defensive behaviors. Paranoia involves irrational fears and beliefs that others are out to harm the individual, leading to potential violent actions. Depersonalization (
A) is a dissociative symptom, Pressured speech (
B) is a symptom of mania or anxiety, and Negative symptoms (
C) refer to deficits in emotional expression and motivation, which do not directly lead to harm to others. In summary, Paranoia is the most concerning characteristic in schizophrenia due to the potential for aggressive behaviors towards others.
Question 5 of 5
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don’t need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: Carolina should respond with choice A because it shows a positive and open-minded attitude towards the patient's choice. By asking the patient to visit and show the app, Carolina demonstrates genuine interest in understanding the patient's perspective and willingness to explore new options together. This approach can help build trust and rapport with the patient, leading to a more productive discussion about the app and potentially integrating it into the therapy plan.
Choices B, C, and D are incorrect because they either dismiss the patient's choice without exploring it further (
B), show resistance or doubt towards the app without considering its potential benefits (
C), or come across as confrontational and defensive (
D). These responses may alienate the patient and hinder the therapeutic relationship.