ATI RN
ATI 2019 Mental Health Proctored Exam Questions
Question 1 of 5
A nurse who has worked with a client diagnosed with generalized anxiety disorder (GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting room of the outpatient psychiatric clinic. The client motions to the nurse to come over so he can tell the nurse how things have been going since he was discharged. While talking with the client, the nurse determines that the client's therapy has been effective when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B because the client's behavior of going to the workshop to work on projects when his mother-in-law visits indicates a healthy coping mechanism to manage stress. This shows that the therapy has been effective in helping the client find a constructive way to deal with his anxiety triggers.
Choice A indicates ongoing stress, which suggests therapy may not be effective.
Choice C shows a habit that has not changed, indicating little progress.
Choice D suggests the use of alcohol as a coping mechanism, which is not a healthy or sustainable way to manage anxiety.
Question 2 of 5
A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B: Avoidance of foods that contain aged cheese. Aged cheese contains tyramine, which can interact with certain medications used to treat depression, such as MAOIs. This interaction can lead to a dangerous increase in blood pressure known as a hypertensive crisis.
Therefore, it is crucial for the client to avoid foods high in tyramine, such as aged cheese, to prevent this potentially life-threatening reaction. Signing a no-suicide contract (choice
A) is important but not directly related to medication teaching. Using sunscreen (choice
C) and limiting water intake (choice
D) are not relevant considerations for this medication regimen.
Question 3 of 5
A nurse is reviewing common themes or social determinants among populations preventing clients' achievement of health care"“related goals. The nurse wants to include interventions into the clients' plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?
Correct Answer: A
Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health.
Explanation:
1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities.
2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare.
3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes.
Summary:
B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants.
C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin
Question 4 of 5
The history of a child newly diagnosed with ADHD reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?
Correct Answer: B
Rationale: The correct answer is B: Atomoxetine. Atomoxetine is the preferred agent for ADHD in children with sleeping difficulties as it does not typically affect sleep patterns. Methylphenidate (
A) may worsen sleep issues due to its stimulant properties. Bupropion (
C) can also cause insomnia. Clonidine (
D) may help with sleep but is not the first-line choice for ADHD without comorbid conditions like tics or aggression.
Question 5 of 5
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
Correct Answer: A
Rationale: The correct answer is A because it directly acknowledges the patient's emotions and perspective without judgment. It shows understanding and validation of the patient's feelings, indicating empathy.
Choice B focuses on the nurse's feelings, not the patient's.
Choice C offers a solution without addressing the patient's emotional state.
Choice D minimizes the seriousness of the patient's situation and lacks empathy. Overall, choice A demonstrates the most empathetic response by recognizing and empathizing with the patient's emotional distress.