ATI RN
ATI Mental Health Proctored Exam 2023 PDF Questions
Question 1 of 5
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories?
Correct Answer: C
Rationale: The correct answer is C: Depression. Clients with anorexia nervosa often experience co-morbid conditions like depression due to the psychological and emotional impact of the disorder. Depression can exacerbate anorexic behaviors and hinder recovery. Paranoia (
A), primary insomnia (
B), and aggression (
D) are not typically associated with anorexia nervosa. Paranoia is more commonly linked to conditions like schizophrenia, primary insomnia is a sleep disorder, and aggression may occur in various psychiatric disorders but is not a hallmark of anorexia nervosa.
Question 2 of 5
A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual's ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following?
Correct Answer: C
Rationale: 1. Resilience refers to the individual's ability to adapt positively to stress, trauma, or adversity.
2. In the context of mental health, resilience is a protective factor against mental illness in older adults.
3. Functional status (
A) refers to the ability to perform activities of daily living and is not related to resilience.
4. Gerotranscendence (
B) is a theory about the developmental stages of aging, not directly related to adaptation to stress.
5. Empty nest (
D) refers to the stage in a parent's life when children have grown up and left home, not related to resilience.
Question 3 of 5
The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:
Correct Answer: D
Rationale: The correct answer is D: A potential symptom of traumatization. This behavior of playacting as a police officer and causing fear in other children can be a red flag for trauma. Trauma can manifest in various ways in children, including through aggressive or controlling behaviors. The boy may be reenacting a traumatic event he witnessed or experienced, using the role of a police officer to process his feelings of powerlessness or fear. It is important for the nurse to consider the possibility of trauma and address it appropriately.
Choices A, B, and C are incorrect because they do not directly address the concerning behavior displayed by the child. The behavior is not simply about the need to dominate others, inventing traumatic events, or developing close relationships. Instead, it suggests deeper psychological distress that requires a trauma-informed approach for intervention.
Question 4 of 5
After teaching a class about factors that enhance the risk of suicide, the instructor determines the need for additional teaching when the class identifies which of the following?
Correct Answer: B
Rationale: The correct answer is B: Cautiousness. Cautiousness is not a risk factor for suicide; in fact, being cautious can be a protective factor. Factors like family history of suicide (
A), delusions (
C), and experiencing loss (
D) are known risk factors for suicide. Family history increases susceptibility, delusions may distort reality, and experiencing loss can contribute to feelings of hopelessness.
Therefore, the need for additional teaching is identified when the class incorrectly associates cautiousness with suicide risk.
Question 5 of 5
A client with suicidal thoughts tells the nurse, 'It just does not seem worth it anymore. Why not end my misery?' Which of the following responses for the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because asking about a specific plan to end their life assesses the client's level of risk for immediate harm. It helps determine the seriousness of their suicidal thoughts and the need for immediate intervention.
Choices A, C, and D are incorrect because they do not directly address the client's suicidal ideation or assess their immediate risk. Option A focuses on the client's perception of life but does not assess their immediate safety. Option C seeks clarification but does not address the urgency of the situation. Option D emphasizes trust but does not assess the client's immediate risk.