ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Patients with intellectual disabilities may have difficulty understanding and adhering to dietary restrictions required with MAOIs, increasing the risk of hypertensive crisis. SSRIs and SNRIs (A and
C) are generally safer and easier to manage in such patients.
Therefore, MAOIs would be the classification of antidepressants that the nurse would question for a patient with a mild intellectual disability.
Question 2 of 5
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her 'mixed-up feelings' about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it 'makes the numbness stop.' Given this presentation, which personality disorder would you suspect?
Correct Answer: B
Rationale: The correct answer is B: Borderline Personality Disorder. Josie's intense fear of abandonment, unstable self-image, impulsivity, and self-harming behavior are classic symptoms of borderline personality disorder. Her sudden anger when you mention your vacation and her self-harming behavior to cope with emotional distress are indicative of this disorder.
A: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness and control, not by self-harm or intense emotional instability like Josie's case.
C: Antisocial personality disorder involves a disregard for others' rights and feelings, which does not align with Josie's fear of abandonment and self-harm behavior.
D: Schizotypal personality disorder features odd beliefs and behaviors, social isolation, and paranoia, not the impulsive, self-destructive behavior seen in Josie.
Question 3 of 5
Marco, age 83, has dementia and difficulty feeding himself despite the fact that there is nothing wrong with his motor functions. Which term should the nurse use to document this finding?
Correct Answer: B
Rationale: The correct answer is B: Apraxia. Apraxia is the inability to perform purposeful movements despite the absence of motor or sensory impairment. In this case, Marco is experiencing difficulty feeding himself despite intact motor functions, indicating apraxia.
A: Aphasia is the loss of ability to understand or express speech, which is not the case here.
C: Agnosia is the inability to recognize objects or people, which is not relevant to Marco's situation.
D: Disinhibition anergia is not a recognized term in the context of this question.
Question 4 of 5
What term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity?
Correct Answer: D
Rationale: Visceral pain refers to pain originating from internal organs. It has a slower onset, is diffuse, and often radiates. Somatic pain refers to pain originating from the skin, muscles, or bones, not internal organs. Acute pain is sudden and short-lived, not slow onset. Chronic pain is persistent and long-lasting, not necessarily marked by somatic pain from internal organs. Superficial pain is pain originating from the surface of the body, not internal organs.
Therefore, the correct answer is D (visceral pain) as it aligns with the characteristics described in the question.
Question 5 of 5
What is the scope of psychiatric-mental health nursing practice?
Correct Answer: A
Rationale: The correct answer is A because psychiatric-mental health nursing practice involves assessing clients, providing education, administering medications, and screening for suicide risk. Assessment helps in understanding the client's mental health status. Education empowers clients to manage their condition. Medication administration ensures proper treatment. Suicide risk screening is crucial for client safety.
Choices B, C, and D are incorrect as they include tasks outside the scope of psychiatric-mental health nursing such as medical diagnosis, giving orders, assisting with ADLs, and giving advice.