ATI RN
ATI RN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals'responses, anticipating which of the following?
Correct Answer: A
Rationale: The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders.
Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship.
Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.
Question 2 of 5
A nurse is assessing a patient with a psychiatric illness. The nurse interprets which patient statement as reflecting the concept of cognitive triad?
Correct Answer: A
Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad.
Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view.
Choice C is incorrect as it describes the bosses and not the patient's own thoughts.
Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.
Question 3 of 5
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
Correct Answer: D
Rationale: The correct answer is D because anosognosia is a symptom of schizophrenia where patients lack insight into their illness. This lack of awareness leads them to deny or minimize their symptoms and believe they are not actually ill, hence refusing medication. Option A is incorrect because it does not address the core issue of lack of awareness. Option B is incorrect as it introduces an unrelated idea of nurses controlling minds. Option C is also incorrect as it focuses on the fear of side effects rather than the denial of illness itself.
Question 4 of 5
A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Methylergonovine. Methylergonovine is contraindicated in clients with preeclampsia due to its vasoconstrictive effects, which can further increase blood pressure and potentially worsen the condition. Misoprostol, Dinoprostone, and Oxytocin are appropriate medications for postpartum hemorrhage and do not have the same vasoconstrictive properties as Methylergonovine. Misoprostol helps reduce bleeding by causing uterine contractions, Dinoprostone is a prostaglandin used to induce labor or treat postpartum hemorrhage, and Oxytocin is a uterotonic agent that helps control bleeding after childbirth.
Question 5 of 5
Which assessment finding for a patient diagnosed with serious and persistent mental illness and living in the community merits priority intervention by the psychiatric nurse? The patient
Correct Answer: B
Rationale: The correct answer is B because missing Alcoholics Anonymous meetings can indicate a potential relapse for the patient, posing a significant risk to their mental health. Attending regular meetings is crucial for maintaining sobriety and managing mental illness. Option A is not a priority as the patient's financial situation is stable. Option C is not an immediate concern as living with other patients in partial hospitalization programs may provide support. Option D, while important for the patient's emotional well-being, does not present an immediate risk that requires priority intervention.