ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client’s behaviors. What is the main goal of this therapeutic technique?
Correct Answer: C
Rationale: The main goal of the therapeutic technique in this scenario is to allow the client to identify the way he interacts. By mirroring the client's behaviors, the RN provides an opportunity for the client to witness his own actions and communication style. This reflection can help the client gain self-awareness and insight into how he presents himself to others. It can also serve as a starting point for discussions on potential areas for growth and change in his communication patterns.
A: Initiating a non-threatening conversation with the client is not the main goal here, as the focus is on reflection and self-awareness.
B: Dialoguing about the ineffectiveness of his interactions is not the primary purpose at this stage; the emphasis is on self-identification.
D: Discussing the client's feelings when he responds is not the main objective; the focus is on the client's behavior and communication style.
Question 2 of 5
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit?
Correct Answer: C
Rationale: The correct answer is C: Disturbed sensory perception. The client's delusional beliefs about their IQ, relationships, and perceptions indicate a possible psychotic disorder. Disturbed sensory perception is the priority as it reflects a break from reality and can lead to unsafe behaviors. Ineffective sexual patterns (
A) may be a concern, but the primary issue is the client's distorted perceptions. Impaired environmental interpretation (
B) may be present, but it is secondary to the client's distorted sensory perceptions. Compromised family coping (
D) is not the priority as the focus should be on the client's immediate safety and stabilization.
Question 3 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the patient understands the dual purpose of Wellbutrin as an antidepressant and smoking cessation aid. This shows comprehension of the medication's intended effects and goals.
Choice B is incorrect as weight gain is a potential side effect of Wellbutrin.
Choice C is incorrect as a history of seizures should be evaluated by the healthcare provider before starting Wellbutrin.
Choice D is incorrect as Wellbutrin is not typically associated with drowsiness.
Question 4 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 5 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.