ATI RN
ATI Mental Health Proctored Exam 2023
1. A client displays signs and symptoms indicative of hypochondriasis. The nurse would initially expect to see:
- A. Self-preoccupation
- B. La belle indifference
- C. Fear of physicians
- D. Insight into the source of their fears
Correct answer: A
Rationale: In hypochondriasis, individuals are excessively preoccupied with and worried about having a serious illness, despite reassurance from medical professionals. This self-preoccupation is a key characteristic of hypochondriasis. 'La belle indifference' refers to a lack of concern or distress about symptoms, which is not typically seen in hypochondriasis. Fear of physicians may be present due to the individual's persistent belief in their illness despite medical reassurance. Insight into the source of their fears is usually lacking in hypochondriasis, as individuals often believe their physical symptoms are evidence of a serious illness.
2. Why is it important to establish a contract with a client with an eating disorder at the beginning of treatment?
- A. The client and healthcare provider form a partnership that is challenging for the family to disrupt.
- B. A collaborative approach to treatment planning ensures that both physical and emotional needs will be addressed.
- C. Involving the client in decision-making enhances the feeling of control and fosters cooperation.
- D. Permission for refeeding is crucial as it can have adverse effects.
Correct answer: C
Rationale: Establishing a contract with a client with an eating disorder at the start of treatment is crucial to involve the client in decision-making processes. By engaging the client in decision-making, it enhances their sense of control over their treatment, which can lead to increased cooperation and better treatment outcomes. This collaborative approach empowers the client and fosters a therapeutic alliance between the client and the healthcare provider, rather than excluding the family or causing disruptions. It focuses on addressing both the physical and emotional needs of the client, ensuring a comprehensive treatment plan.
3. Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
- A. The patient's verbal and nonverbal communication is often different.
- B. When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.
- C. If a patient is slumped in the chair, I can be sure he's angry or depressed.
- D. It's easier to understand verbal communication than nonverbal communication.
Correct answer: B
Rationale: Checking for congruence between verbal and nonverbal communication helps validate the patient's response.
4. What principle about patient-nurse communication should guide a nurse's fear of saying the wrong thing to a patient?
- A. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
- B. Patients are more interested in conversing with you than in hearing your perspective, making offense unlikely.
- C. Considering the patient's background, the likelihood of the comment causing harm is minimal.
- D. Individuals with mental illness often possess a heightened capacity for forgiveness.
Correct answer: A
Rationale: The correct answer is A. Patients value interactions with healthcare providers who express genuine acceptance, respect, and concern for their well-being. By focusing on conveying these qualities, a nurse can help alleviate fears of saying the wrong thing as patients appreciate the sincerity and empathy in the communication. This approach fosters trust and a positive therapeutic relationship, enhancing the effectiveness of patient-nurse communication.
5. In a client's history, a significant indicator suggesting marginal coping skills and the need for careful risk assessment for violence is a history of
- A. childhood trauma.
- B. family involvement.
- C. academic problems.
- D. chemical dependence.
Correct answer: D
Rationale: A history of chemical dependence is a critical factor indicating marginal coping skills and the need for assessing the risk of violence. Substance abuse can impair judgment, increase impulsivity, and escalate the likelihood of violent behavior. It is essential to thoroughly evaluate and address substance abuse issues in clients to enhance treatment outcomes and ensure safety.
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