ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 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: The correct answer is B: Provide safety for the client and other clients on the unit. The priority is to ensure immediate safety due to the client's agitated and aggressive behavior. This includes preventing harm to the client and others. Assisting the staff (
A) can come after ensuring safety. Providing comfort (
C) is important but secondary to safety. Offering a less stimulated area (
D) is not the immediate priority when safety is at risk.
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: The correct answer is D: Check the client's mouth after the client takes medication. This is important to ensure the client has swallowed the medication and not hidden it to avoid taking it. Option A is incorrect because feeding the client should be done by a nurse due to safety concerns. Option B may trigger the client's paranoia. Option C could increase the client's anxiety due to lack of consistency.
Question 3 of 5
The charge nurse is talking with another nurse who states, 'I feel like my clients have no interest in their care and do not care that I am trying to help.' Which response should the charge nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B - "Have you tried to establish a therapeutic relationship with the clients?"
Rationale: Establishing a therapeutic relationship is essential in nursing to build trust, rapport, and mutual understanding with clients. By asking the nurse if they have tried this approach, the charge nurse is addressing the root cause of the issue - lack of connection with the clients. This response encourages the nurse to reflect on their communication and interpersonal skills, which can improve client engagement and cooperation.
Incorrect Answers:
A: This response dismisses the nurse's feelings and does not address the underlying issue of building relationships with clients.
C: This response jumps to replacing the nurse without exploring ways to improve the current situation through communication and support.
D: While pain may be a factor in client behavior, assuming pain is the sole reason overlooks the importance of communication and relationship-building in nursing care.
Question 4 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The nurse should include statement A because it acknowledges the chronic nature of schizophrenia while emphasizing the importance of adhering to the treatment plan for improving quality of life. This statement shows understanding and support for the client's experience and encourages hope for improvement.
Summary of Other
Choices:
B: This statement is confrontational and dismissive of the client's perspective, which can be counterproductive in building a therapeutic relationship.
C: This statement promotes a narrow view of recovery and suggests a dismissive approach towards mental health treatment.
D: This statement is defeatist and does not offer any hope or encouragement for the client's future. It also suggests a lack of belief in the client's ability to manage their symptoms.
Question 5 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: The correct answer is D: Behavioral. The privilege system in the inpatient unit involves the use of reinforcement and consequences to modify behavior, which aligns with the principles of behavioral theory. This theory focuses on observable behaviors, rewards, and punishments to shape behavior. Developmental theory (
A) focuses on stages of growth and maturation. Humanistic theory (
B) emphasizes individual growth and self-actualization. Cognitive theory (
C) focuses on internal mental processes. By process of elimination, D is the most fitting choice.