ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Premature termination of services. When there is a lack of community-based resources and long waiting lists for services in pediatric mental health, it often leads to premature termination of services. This is because families may become discouraged or face obstacles in accessing consistent care, resulting in discontinuity of treatment. This can have negative consequences on the child's mental health outcomes.
Choice A is incorrect because it focuses on underserving specific demographics rather than the consequences of limited resources.
Choice B is incorrect as increased stress in the family unit may be a result of the lack of resources but is not a direct consequence.
Choice C is incorrect since the lack of resources does not equate to increased funding.
Question 2 of 5
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?
Correct Answer: A
Rationale: The correct answer is A because paranoia, such as the fear of belongings being stolen, can be a symptom of the prodromal phase of schizophrenia in adolescents. This early phase often includes social withdrawal, suspiciousness, and unusual beliefs.
Choice B, an unusual interest in numbers, is more indicative of autism spectrum disorder.
Choice C, lack of interest in athletics, is not specific to schizophrenia.
Choice D, being more comfortable among males, is not a common symptom of the prodromal phase of schizophrenia.
Question 3 of 5
An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?
Correct Answer: A
Rationale: The correct answer is A: Sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. A sore throat can be an early sign of agranulocytosis, so it should be reported immediately to the healthcare provider for further evaluation and monitoring. Weight loss (
B), constipation (
C), and lightheadedness (
D) are common side effects of clozapine but are not as concerning as a sore throat in this scenario.
Question 4 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.
Question 5 of 5
A client with obsessive-compulsive disorder (OCD) repeatedly checks to see if the door is locked and asks for reassurance that it is locked. What is the most appropriate intervention by the RN to address this behavior?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
Setting a specific limit on the number of times the client can check the door is the most appropriate intervention because it addresses the client's compulsive behavior while also providing structure and boundaries. By setting limits, the client can gradually learn to trust the initial checking and reduce the need for reassurance, promoting independence and self-regulation. This intervention also aligns with cognitive-behavioral therapy principles for treating OCD by encouraging exposure and response prevention.
Summary of other choices:
B: Helping the client find an alternative activity does not directly address the compulsive checking behavior associated with OCD.
C: Providing consistent reassurance reinforces the client's checking behavior and does not promote long-term independence.
D: Ignoring the checking behavior may lead to increased anxiety and does not address the underlying issue of OCD.