ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 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 2 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 3 of 5
A patient being treated for insomnia is prescribed ramelteon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?
Correct Answer: D
Rationale: The correct answer is D: Substance use disorder. Ramelteon is a melatonin receptor agonist that does not have abuse potential or risk of dependence, making it a suitable choice for patients with substance use disorder. Patients with substance use disorder are at higher risk for developing dependence on traditional hypnotics, such as benzodiazepines or Z-drugs.
Choice A, B, and C are incorrect because ramelteon does not specifically target symptoms of obsessive-compulsive disorder, generalized anxiety disorder, or persistent depressive disorder.
Question 4 of 5
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.†Which response would be most therapeutic?
Correct Answer: C
Rationale: The correct response is C: "You seem very upset. Please tell me more about what you experienced last night." This response demonstrates empathy, active listening, and encourages further disclosure, which can help James feel supported and validate his feelings. It also opens up the opportunity for James to express his thoughts and emotions, leading to a better understanding of his experiences.
Choice A is incorrect as it dismisses James' experiences and can be invalidating.
Choice B is incorrect as it may come across as dismissive and does not address James' emotional state.
Choice D is incorrect as it focuses more on reassurance than on actively listening and understanding James' experience.
Question 5 of 5
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Level of cognitive development. Young children's cognitive abilities are still developing, making it challenging to accurately assess and diagnose mental health issues. This impacts their ability to express thoughts and emotions clearly. Limited language skills (
A) can be a factor, but cognitive development plays a larger role. Emotional development (
C) can influence behavior, but it is not a primary factor in diagnosing mental illness. Parental denial (
D) may hinder early intervention but does not directly impact the diagnostic process.