ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
Correct Answer: D
Rationale: As a tutor, the correct answer is D: Asking 'why' questions. This is not considered a therapeutic communication technique because it can be perceived as challenging or confrontational, potentially making the patient defensive or uncomfortable. Instead, therapeutic communication focuses on creating a safe and supportive environment for the patient to express their thoughts and feelings without feeling judged. Restating, encouraging description of perception, and summarizing are all considered therapeutic techniques as they demonstrate active listening, empathy, and help the patient feel understood and validated. Asking 'why' questions may come across as interrogative and may hinder open communication.
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
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
Correct Answer: A
Rationale: The correct answer is A: Screening a group of males between the ages of 15 and 25 for early symptoms. This intervention is well chosen because schizophrenia typically emerges in late adolescence to early adulthood, with males having a higher risk during this age range. Screening for early symptoms allows for early detection and intervention, improving outcomes.
Choice B is incorrect as it targets a different population group with substance use issues, not specifically at high risk for schizophrenia.
Choice C is incorrect as it focuses on coping skills for an age group less at risk for developing schizophrenia.
Choice D is incorrect as it targets developmentally delayed children, not a population at high risk for schizophrenia.
Question 4 of 5
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to verbally attack other clients. What intervention is most appropriate for the RN to use to manage the client’s behavior?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to a safe area to avoid injury. This is the most appropriate intervention because the client is engaging in potentially harmful behaviors such as vigorous exercise and crashing into furniture. By moving the client to a safe area, the nurse can prevent any physical harm that may result from the client's actions.
Choice B: Establish clear and firm limits with the client may not be effective in this situation as the client may not be receptive to verbal communication due to their current behavior.
Choice C: Offer medication to help calm the client down may not be appropriate as it is important to address the immediate safety concerns first before considering medication.
Choice D: Speak with the client in a calm, non-threatening manner may not be effective in this situation as the client is not in a state to engage in a calm conversation.
In summary, choice A is the most appropriate intervention to ensure the client's safety in the current situation.
Question 5 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.