ATI RN
ATI PN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse's suspicions?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates grandiosity and a sense of superiority, which are key traits of narcissistic personality disorder. The statement reflects an inflated self-image and a belief that others admire and envy them.
Choice B is indicative of paranoid delusions, not narcissism.
Choice C suggests introversion and introspection, which are not characteristic of narcissistic personality disorder.
Choice D, being the life of the party and making new friends, may suggest extraversion but lacks the sense of superiority and entitlement that is typical of narcissism.
Question 2 of 5
Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates therapeutic communication by acknowledging the patient's experience without judgment and encourages further exploration of the hallucinations.
Choice A dismisses the patient's experience, choice B invalidates their reality, and choice D does not address the patient's experience or encourage further discussion. Using open-ended questions like in choice C promotes trust and allows the patient to express their thoughts and feelings.
Question 3 of 5
A depressed client discussing marital problems with the nurse says,"What will I do if my husband asks me for a divorce?" Which response by the nurse would be an example of therapeutic communication?
Correct Answer: C
Rationale:
Rationale:
Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (
B), focus on overly questioning the client (
A), or dismiss the client's feelings (
D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.
Question 4 of 5
Maxwell is a 30-year-old male who arrives at the emergency department stating, 'I feel like I am having a stroke.' During the intake assessment, the nurse discovers that Maxwell has been working for 36 hours straight without eating and has consumed eight double espresso drinks and 12 caffeinated sodas. The nurse suspects:
Correct Answer: B
Rationale: The correct answer is B: Dehydration and caffeine overdose. Maxwell's symptoms of feeling like having a stroke are likely due to severe dehydration and excessive caffeine consumption. Dehydration can cause dizziness, confusion, and weakness, mimicking stroke symptoms. Caffeine overdose can lead to increased heart rate, tremors, and anxiety, exacerbating these symptoms. Working for 36 hours straight without eating also contributes to dehydration and electrolyte imbalances.
Choices A, C, and D are incorrect as there are no indications of fluid overload, benzodiazepine overdose, or sleep deprivation syndrome in this scenario.
Question 5 of 5
A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Maintain the head at a midline position. This intervention helps to optimize cerebral perfusion and reduce the risk of further increasing intracranial pressure. Placing the head at a midline position promotes proper alignment of the brain structures and facilitates adequate blood flow to the brain.
A: Performing active range of motion exercises can increase intracranial pressure and should be avoided in this situation.
B: Neurological checks every 4 hours are important but do not directly address the issue of maintaining intracranial pressure.
C: Suctioning the airway frequently can also increase intracranial pressure and should be done only when necessary to maintain airway patency.
In summary, maintaining the head at a midline position is the most appropriate intervention to manage increased intracranial pressure in a child with a decreased level of consciousness.