2024 ATI Psychiatric Nursing Exam Spri ng 2023 Updated 2024 New Latest Version with All Questions and 100% Correct Answers Question 1: Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.) A. Monitor nutrition and self -care. B. Provide round -the -clock supervision. C. Offer structured socialization activities. D. Establish a long -term therapeutic relationship. E. Assist patients in self -assessment Show correct answer and explanation Explanation Choice A Reason: Monitoring nutrition and self -care is correct. Ensuring patients are maintaining proper nutrition and engaging in self -care activities is an essential part of psychiatric nursing care. Choice B Reason: Providing round -the-clock supervision is correct. In an inpatient psychiatric unit, especially for patients at risk of harm to themselves or others, providing continuous supervision is often necessary to ensure safety. Choice C Reason: Offering structured socialization activities is correct. Structured socialization activities can contribute to patients' well -being and help create a therapeutic and supportive environment. Choice D Reason: Establishing a long -term therapeutic relationship is incorrect. While building therapeutic relationships is important, establishing a "long -term" therapeutic relationship might be more applicable in outpatient or community settings. In an inpatient unit, t he focus may be on immediate care needs and stabilization. Choice E Reason: Assisting patients in self -assessment is correct. Helping patients in self -
assessment is a crucial aspect of psychiatric nursing, as it fosters self -awareness and empowers individuals to actively participate in their treatment. Question 2: Which patient statement best captures the helpfulness of the nurse -patient relationship? Select one: A. Of it weren't for you and the hours we've spent talking. I don't think I would be on my way to getting my anxiety under control." B. Appreciate the time you spent with me. I have a better understanding of what can do to manage my problem. C. I really need to talk with you. You always give me good advice about how to address my anger issues. D. You've been kind to me when I was at a low point. Knowing you've had low points too was such a help Show correct answer and explanation Explanation Choice A Reason: "If it weren't for you and the hours we've spent talking, I don't think I would be on my way to getting my anxiety under control." While this statement acknowledges the importance of the nurse -patient relationship in helping with anxiety, it might imply a somewhat dependent stance. The ideal therapeutic relationship encourages patients to gain skills and tools to manage their issues independently. Choice B Reason: "I appreciate the time you spent with me. I have a better understanding of what I can do to manage my problem." This statement reflects the patient's acknowledgment of the nurse's support and guidance, resulting in a positive impact on the patient's unders tanding and ability to manage their concerns. It emphasizes the constructive nature of the nurse -patient relationship and the effectiveness of the interactions in addressing the patient's needs. Choice C Reason: "I really need to talk with you. You always give me good advice about how to address my anger issues." While seeking support and advice from the nurse is positive, the emphasis on always receiving good advice might suggest a more directive approach rather than collaborative exploration and problem -solving, which is often a goal in therapeutic relationships. Choice D Reason: "You've been kind to me when I was at a low point. Knowing you've had low points too was such a help. “While mutual understanding and empathy are crucial in the nurse -patient relationship, the statement may focus more on the nurse's experiences rather than the patient's progress or understanding. The primary focus should be on the patient's needs and growth. Question 3: A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states. "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make? A. "It might help you feel better if you talk about it." B. "I'll just sit here with you for a few minutes then." C. “Understand you felt like that before, too." D. “Why are you feeling so down?" Show correct answer and explanation Explanation Choice A Reason: "It might help you feel better if you talk about it." While encouraging communication is generally good, the client has clearly expressed a desire not to talk at the moment. Pressuring them to talk may not be beneficial. Choice B Reason: "I'll just sit here with you for a few minutes then." This response acknowledges the client's need for solitude while showing a willingness to provide presence and support. It respects the client's autonomy and allows them to lead the interaction. Choice C Reason: "I understand; I've felt like that before, too." While expressing empathy can be helpful, it's important not to overshadow the client's experience by sharing personal feelings at this moment. Choice D Reason: "Why are you feeling so down?" This question may feel intrusive and may not be well-received by the client, especially when they've indicated a preference not to talk. It's important to approach the conversation with sensitivity and respect for the client' s boundaries. Question 4: The nurse states to the patient "You say that you are sad, but you are smiling..." Which option describes the purpose of this therapeutic communication technique? A. To provide support for the patient B. To redirect the patient to an important idea C. To provide a suggestion for coping strategies D. To bring inconsistencies into awareness Show correct answer and explanation Explanation Choice A Reason: To provide support for the patient is not appropriate. While providing support is important in therapeutic communication, the nurse's statement is more focused on bringing attention to an inconsistency rather than offering direct emotional support. Choice B Reason: To redirect the patient to an important idea is not appropriate. The nurse's statement is not aimed at redirecting the patient to a specific idea. Instead, it's about highlighting a potential incongruence between the patient's verbal and nonverbal expressi ons. Choice C Reason:
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