ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 5
A client with borderline personality disorder tells the nurse, I'm afraid to get on a train because we'll probably get into a wreck. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "What are the chances of that actually happening?" This response acknowledges the client's fear while prompting critical thinking about the likelihood of the feared event. It encourages the client to examine the rationality of their fear and challenges distorted thinking common in borderline personality disorder.
A: Asking about a bad experience focuses on past events rather than addressing the client's current fear.
C: Telling the client it won't happen dismisses their fear and does not address the underlying issue.
D: Suggesting another mode of transportation avoids addressing the client's fear directly and does not promote critical thinking.
Question 2 of 5
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (
A) and paranoid delusions (
B) are not directly associated with a family history of alcoholism. Extroversion (
D) is a personality trait and not necessarily linked to the patient's family background.
Question 3 of 5
Terrell is a thirty-two-year-old male client who was just diagnosed with bipolar disorder and alcohol abuse disorder. He does not meet criteria for hospital admission and is currently able to work and safely care for himself at home. He is also on a new medication regimen that will need frequent lab draws and adjustments for the first several weeks. What is the best setting for treatment for Terrell?
Correct Answer: B
Rationale: The correct answer is B: an intensive community (outpatient) program (IOP). This setting is appropriate for Terrell as he is able to work and care for himself at home, does not require hospitalization, and needs close monitoring due to the new medication regimen. IOP provides structured treatment while allowing Terrell to maintain his daily routine.
Choice A: a halfway house, is not the best option as Terrell is currently able to live independently at home and does not need the level of structure and support provided in a halfway house.
Choice C: a residential treatment center (RT
C), is not necessary as Terrell does not require 24/7 supervision and can continue living at home while attending regular treatment sessions.
Choice D: Narcotics Anonymous (N
A) is not the best setting for Terrell as his primary issues are bipolar disorder and alcohol abuse, not narcotics addiction. An IOP will provide the appropriate level of care and support for his current needs.
Question 4 of 5
The plan of care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?
Correct Answer: B
Rationale: The correct answer is B: Anger management. This is because anger management techniques are specifically designed to help individuals recognize triggers, control emotions, and respond in more constructive ways. Self-monitoring of cues (
A) involves identifying personal anger cues but does not necessarily address management strategies. Relaxation training (
C) focuses on reducing stress, not specifically managing anger. Response disruption (
D) involves interrupting negative behaviors but does not encompass the comprehensive strategies of anger management.
Question 5 of 5
A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry.
Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause.
Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder.
Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.