ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The client is demonstrating the defense mechanism of Compensation. Compensation involves covering up weaknesses by emphasizing strengths in other areas. In this scenario, the client is compensating for feeling inadequate or unappreciated by becoming angry and defensive when his actions are questioned. This behavior serves to divert attention away from his perceived shortcomings and protect his self-esteem.
Rationalization (
A) involves creating logical explanations to justify behaviors or feelings. Denial (
B) is refusing to acknowledge unpleasant realities. Displacement (
D) is redirecting emotions from the real target to a substitute target. In this case, these defense mechanisms are not as applicable as Compensation, which directly relates to the client's behavior of overcompensating for his perceived lack of attention.
Question 2 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the issue of the AP's irritation towards the client's depression. It ensures the client's care is not compromised and maintains a supportive environment. This action also prevents negative attitudes from affecting the client's well-being.
Summary of other choices:
A: Incorrect. Minimizing the client's feelings is inappropriate and may invalidate their experiences.
B: Incorrect. While it is important for the client to verbalize feelings, the focus here is on addressing the AP's behavior.
C: Incorrect. Dismissing the AP's feelings and normalizing negative attitudes are not appropriate responses.
E, F, G: Not provided, but based on the context, they are likely to be irrelevant or inappropriate responses.
Question 3 of 5
A nurse is assessing a child in the emergency department. Which of the following findings places the child at the greatest risk for physical abuse?
Correct Answer: A
Rationale: The correct answer is A: The child is 10 years old. Children between 8-12 years old are at higher risk for physical abuse due to increased independence and potential conflicts with caregivers. Being 10 years old puts the child at a critical age for abuse.
Choice B (home-schooled) does not directly correlate with an increased risk of abuse.
Choice C (no siblings) does not indicate abuse risk.
Choice D (cystic fibrosis) is a medical condition and does not specifically increase the risk of physical abuse.
Question 4 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: B
Rationale: The correct answer is B: Snap a rubber band on your wrist when you think about checking the locks. This is an effective use of thought stopping technique as it creates a physical distraction and discomfort when the client has obsessive thoughts. It helps interrupt the pattern of behavior and redirects the client's focus away from the compulsion. Keeping a journal (
A) may increase anxiety and reinforce the behavior. Asking a family member to check the lock (
C) doesn't address the client's need to manage their own thoughts and behaviors. Focusing on abdominal breathing (
D) may be a relaxation technique but doesn't directly address the obsessive thoughts.
Question 5 of 5
A nurse is assessing a client who is experiencing alcohol withdrawal. For which of the following findings should the nurse anticipate administration of lorazepam?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Lorazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including hypertension. Alcohol withdrawal often leads to increased sympathetic nervous system activity, causing elevated blood pressure. Lorazepam helps to reduce this symptom by promoting relaxation and reducing anxiety. Bradycardia (
A), stupor (
B), and afebrile (
C) are not indications for lorazepam administration in alcohol withdrawal. Bradycardia and stupor may require further evaluation for potential complications, while afebrile state does not directly warrant lorazepam use.