ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 5
During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from:
Correct Answer: A
Rationale: The correct answer is A: Major depression. The widow's symptoms of emptiness, loss of self, difficulty thinking of the future, and anger are indicative of major depression, which is a common reaction to a significant loss. The duration of symptoms (15 months) and their severity suggest a diagnosis of major depression rather than normal grieving or adjustment disorder. Posttraumatic stress disorder is characterized by specific trauma-related symptoms, which are not evident in this case.
Question 2 of 5
What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver?
Correct Answer: B
Rationale: The correct answer is B because caregivers who were neglected as children may have unresolved trauma, leading to higher likelihood of abusing older adults. Neglect in childhood can result in emotional issues, lack of empathy, and unhealthy coping mechanisms, increasing the risk of abusive behavior towards vulnerable individuals.
Choice A (single male relative) does not have a direct correlation with increased risk of abuse.
Choice C (caregiver under 30) is not necessarily indicative of abusive behavior.
Choice D (little experience with the elderly) may lead to challenges in caregiving but does not inherently indicate a greater risk of abuse compared to a history of childhood neglect.
Question 3 of 5
Randi feels excluded in group activities and social events and expresses sadness to the nurse. According to Maslow, where have needs not been met?
Correct Answer: C
Rationale: According to Maslow's hierarchy of needs, social needs, such as belongingness and love, come after physiological and safety needs. Randi's feeling of exclusion in group activities and social events indicates a lack of fulfilling these social needs. Self-actualization needs relate to personal growth and achieving one's full potential, not the issue at hand. Safety needs focus on physical security, which is not the primary concern in this scenario. Esteem needs involve feeling respected and valued, but in Randi's case, the immediate issue is the lack of inclusion and connection in social settings, pointing to unmet social needs.
Question 4 of 5
Jane is a nursing student living with ADHD. She knows from her own experience that this neurodevelopmental disorder affects being able to pay attention and being overly active. What is one other statement that is true about ADHD?
Correct Answer: A
Rationale: 1. ADHD is one of the most common neurodevelopmental disorders, affecting about 5-7% of children worldwide.
2. This prevalence makes choice A correct as it highlights the widespread occurrence of ADHD.
3.
Choice B is incorrect as ADHD can persist into adulthood, affecting around 2-5% of adults.
4.
Choice C is incorrect as medication is not the only treatment option, and it is not commonly prescribed for children under six due to potential side effects.
5.
Choice D is incorrect as individuals with ADHD are at higher risk for accidents and injuries due to impulsivity and inattention.
In summary, choice A is the correct statement as ADHD is indeed one of the most common neurodevelopmental disorders.
Question 5 of 5
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention?
Correct Answer: B
Rationale: The correct answer is B because Maslow's hierarchy of needs prioritizes safety and security needs. Hostile and angry behaviors threaten the safety of other clients and staff, requiring immediate intervention.
Choice A relates to social needs,
Choice C relates to belongingness needs, and
Choice D relates to self-esteem needs, which are lower in the hierarchy compared to safety needs.