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Looking for a comprehensive test bank to ace the (NGN) ATI MENTAL HEALTH PROCTORED EXam? Look no further! Our ATI Ment...
ATI RN MENTAL HEALTH PROCTORED EXAM
2023/2024 WITH NGN QUESTIONS 100% PASS
WITH RATIONALES LATEST UPDATES
QUESTION AND DETAILED ANSWERS
A nurse is caring for a group of patients. For which of the following situations
should the nurse complete an incident report?
- A client was administered one-half of the prescribed dose of medication
Rationale: An incident report is a recording of any occurrence that does not meet
the standard of care. The nurse should report medication errors using the facility's
incident or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the
nurse required to report?
- A client who has borderline personality disorder threatened to harm their
roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships
accompanied by threats and other-directed violence. While it is important for the
nurse to maintain the patients confidentiality, when another individual might be in
danger, the nurse is required by law to report it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of
the following goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled
b. The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy
- c. The client will refrain from self-mutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the
priority goal is for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels
,is an important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important
goal. However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal.
However, this is not the priority goal
A nurse is discussing the home care of a patient who has advanced Alzheimer's
disease. The patient's caregiver is planning to go out of town for several days.
Which of the following resources should the nurse recommended to the caregiver?
a. Respite care
b. Partial hospitalization
c. Adult day care program
d. Geropsychiatric unit
- a. Respite care
Rationale: Respite care programs allow the patient to stay in a nursing facility for a
set number of days, allowing the caregivers to go on vacation or have some time to
themselves
b. Partial hospitalization provides services for several hours during the day, but
they are not designed to offer 24-hr care. A patient with advanced Alzheimer's
disease is unable to safely remain at home unattended
c. Adult day care programs can provide services throughout the day to patient's
with Alzheimer's disease, allowing the caregiver the ability to work or have a
break. The patient's return home in the evening. A patient who has advanced
Alzheimer's disease is unable to safely remain at home unattended.
d. A geropsychiatric unit provides care for patients requiring acute psychiatric
services due to sudden mental status changes, psychosis, or other mental health
services. These services are ideal for patients who are at risk of harming
themselves or others
A nurse is caring for an older adult patient who has dementia and has wandered
into the day room looking for their deceased partner. Which of the following
actions should the nurse take?
a. Move the patient to a room near the nurses' station
, b. Limit visitors until the patient is oriented to the environment
c. Tell the patient their partner is deceased
d. Talk with the patient about activities they enjoyed with their partner
- Talk withthe patient about activities they enjoyed with their partner
Rationale:
Talking about positive experiences can help distract the patient from their
disorientation
a. When caring for a patient with dementia, avoid placing them in unfamiliar
settings when possible.
b. Family members should be encouraged to interact with the patient regardless of
the patient's state of dementia
c. Confrontation should not be used for a disoriented patient
A nurse is admitting a patient with schizophrenia to an acute care setting. When the
nurse questions the patient regarding their admission, the client states, "I'm red, in
the head, and I'm going to bed!" The nurse should document the client's speech
pattern as which of the following?
a. Clang association
b. Word salad
c. Neologism
d. Echolalia
- a. Clang association
Rationale: The nurse should document that the patients speech uses clang
associations which often rhyme or contain a string of words that can have a similar
sound
b. In word salad, words are completely meaningless and disorganized.
c. Neologism consists of words that are made up by the patient
d. In echolalia, the patient repeats the words of another person
A nurse is assessing a patient who has schizophrenia. Which of the following
findings should the nurse document as a negative symptom of this disorder?
a. Delusions
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