ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is vital in determining the most appropriate treatment setting because the patient's past experiences can influence their comfort, adherence, and response to treatment. If the patient has had positive experiences with either setting, it may guide the team in selecting the most effective option.
A: Is the patient expressing suicidal thoughts? - While this is an important consideration for safety, it does not directly determine the treatment setting.
B: Does the patient have intact judgment and insight into his situation? - This question is important for assessing the patient's capacity for decision-making, but it does not specifically relate to the choice between outpatient or inpatient settings.
D: Does the patient require a therapeutic environment to support the management of psychotic symptoms? - This question is relevant but does not address the patient's past experiences with treatment settings, which is crucial in determining the most suitable option.
Question 2 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The correct answer is D: Tennis. Physical activities like tennis can help children with ADHD by allowing them to release excess energy and improve focus through movement. Tennis also promotes social interaction, teaches impulse control, and enhances coordination skills. Reading (
A) may be challenging for a child with ADHD due to difficulties in sustained attention. Monopoly (
B) requires long periods of focus, which may be challenging for a child with ADHD. Checkers (
C) involves strategic thinking but may not provide enough physical activity.
Question 3 of 5
The nurse leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Redirect him by encouraging him to read from the handout. This is the best nursing action because it addresses the client's disruptive behavior by redirecting his focus back to the task at hand, which is learning about anger management. By encouraging him to read from the handout, the nurse helps him engage with the material, potentially reducing his fidgetiness and interrupting behavior.
Choice A (Give the client permission to leave and return in 10 minutes) could reinforce the disruptive behavior.
Choice B (Explore the client’s feelings about his pets and home life) may not address the immediate issue of his disruptive behavior.
Choice C (Encourage his peers to help involve him in the activity) may not effectively address the client's behavior and could potentially create more disruptions.
Question 4 of 5
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Alcohol use disorder. Patients with schizophrenia are at increased risk for co-occurring substance use disorders, particularly alcohol use disorder. This assessment is crucial as alcohol can worsen symptoms and interfere with treatment efficacy.
Choice B, Major depressive disorder, is incorrect as it is a common comorbidity but not the most frequently associated condition with schizophrenia.
Choices C (Stomach cancer) and D (Polydipsia) are unrelated to schizophrenia and not commonly associated conditions.
Question 5 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct response is B because it reflects active listening and empathy by acknowledging the patient's non-verbal cues. By pointing out the discrepancy between the patient's words and body language, it encourages further exploration of the patient's feelings.
Choice A dismisses the patient's non-verbal cues and provides a superficial reassurance.
Choice C jumps to conclusions without exploring the underlying emotions.
Choice D imposes assumptions on the patient without allowing them to express themselves.