ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
Which student behavior is consistent with therapeutic communication?
Correct Answer: B
Rationale: The correct answer is B - Summarizing the essence of the patient's comments in your own words. This is consistent with therapeutic communication as it demonstrates active listening and understanding of the patient's thoughts and feelings. Summarizing helps clarify and validate the patient's message, promoting trust and rapport.
Choice A is incorrect because offering your opinion may impose your beliefs on the patient instead of focusing on their needs.
Choice C is incorrect as interrupting silences can hinder the patient's processing or expression of emotions.
Choice D is incorrect as praising the patient's statements may not always be appropriate or genuine, potentially undermining the therapeutic relationship.
Question 2 of 5
Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because in inpatient settings, there is continuous monitoring and supervision available to ensure Pablo's safety and prevent any self-harm behaviors. This is crucial for someone expressing a wish to die. Option B is incorrect because it focuses on symptom stabilization, which is not the primary rationale for inpatient treatment in this case. Option C is also incorrect as it addresses physical needs rather than the immediate mental health and safety concerns. Option D is incorrect because while medication adherence may be part of the treatment plan, it is not the primary reason for recommending inpatient treatment in this scenario.
Question 3 of 5
Which nursing statement is an example of reflection?
Correct Answer: B
Rationale: The correct answer is B. This statement demonstrates reflection as it involves paraphrasing and repeating back the patient's words to show understanding. By restating, "So you are saying that life has no meaning," the nurse is reflecting the patient's feelings and thoughts accurately.
Choice A is more of a personal opinion.
Choice C shows confusion rather than reflection.
Choice D is an observation rather than reflecting the patient's feelings.
Question 4 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 5 of 5
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
Correct Answer: A
Rationale: The correct answer is A: Acute confusion. This is the priority problem because the client is disoriented, disorganized, and confused, indicating altered mental status. Addressing acute confusion takes precedence to ensure the client's safety and well-being. Ineffective community coping (
B) may be a concern, but addressing the client's altered mental status is crucial. Disturbed sensory perception (
C) and self-care deficit (
D) may be secondary to the client's acute confusion.