ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 5
A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?
Correct Answer: A
Rationale: The correct answer is A because it accurately describes the relapse cycle for individuals with co-occurring cognitive disorders and alcoholism.
Step 1: Discharged from the hospital, leading to using alcohol instead of medication.
Step 2: Alcohol use leads to resurfacing of psychiatric symptoms.
Step 3: Rehospitalization and control of symptoms with medications.
Step 4: Cycle repeats after discharge. Other choices lack the comprehensive explanation of the relapse cycle, such as hallucinations being the sole trigger (
B), unrelated alcoholism and psychiatric illness (
C), and the cycle being solely triggered by attempts to stop drinking (
D).
Question 2 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 3 of 5
The nurse is working with a patient who will be signing a commitment to treatment statement. After teaching the patient about this statement, the nurse determines the need for additional instruction when the patient states which of the following?
Correct Answer: A
Rationale:
Rationale:
Choice A is incorrect because signing the commitment to treatment statement does not guarantee that the patient will not commit suicide. The correct answer is D, as it aligns with the purpose of the commitment statement, which is to agree to participate in necessary treatment.
Choice B is incorrect as it focuses on emergency treatment only.
Choice C is incorrect as it does not address the commitment to treatment itself.
Therefore, the patient needs additional instruction to understand the purpose of the commitment statement is to participate in necessary treatment, not to prevent suicide.
Question 4 of 5
The nurse is counseling a family whose child has autism. When describing this condition, which of the following would the nurse most likely include?
Correct Answer: C
Rationale: The correct answer is C: Onset before child is 2.5 years old. This is because autism spectrum disorder typically presents in early childhood, with symptoms becoming noticeable before the age of 2.5 years. Early intervention is crucial for improving outcomes.
A: Connection to ineffective parental practices is incorrect as autism is a neurodevelopmental disorder with genetic and environmental factors.
B: Detection after the child enters school is incorrect as early signs of autism can be observed much earlier.
D: Girls are more frequently affected than boys is incorrect as autism is diagnosed more frequently in boys than girls.
Question 5 of 5
A nurse is part of a multidisciplinary team working with groups of depressed patients. One group receives supportive interventions and antidepressants. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?
Correct Answer: D
Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology focuses on studying the outcomes of interventions in clinical settings. In this scenario, the nurse and the multidisciplinary team are evaluating the outcomes of different treatment approaches for depressed patients. This involves assessing the effectiveness of supportive interventions and antidepressants compared to medication alone. This type of study design allows for the evaluation of the impact of interventions on patient outcomes.
Explanation for other choices:
A: Incidence - Incidence refers to the rate of new cases of a condition in a population over a specified period. This choice is not relevant to the scenario described.
B: Prevalence - Prevalence refers to the proportion of individuals in a population with a specific condition at a given point in time. This choice is not relevant to the scenario described.
C: Comorbidity - Comorbidity refers to the presence of two or more conditions in an individual. This choice is not relevant to the scenario described.