ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
After teaching a group of students about appraisal and the stress response, the instructor determines that additional teaching is needed when the students identify which of the following as part of the primary appraisal?
Correct Answer: D
Rationale: The correct answer is D because outcome explanation is not part of primary appraisal. Primary appraisal involves evaluating the significance of an event in relation to one's well-being, focusing on factors such as relevance of the goal, consistency of goal with values, and personal commitment. Outcome explanation, on the other hand, is more related to secondary appraisal where one assesses potential coping strategies and their outcomes.
Therefore, outcome explanation does not directly contribute to the initial evaluation of the event's impact on well-being, making it an inaccurate choice for primary appraisal.
Question 2 of 5
You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement:
Correct Answer: B
Rationale: B is the correct answer because the patient's statement indicates a dangerous decision to switch from an SSRI (Prozac) to a MAOI without consulting a healthcare provider. MAOIs have significant interactions with certain foods and other medications that can lead to serious side effects such as hypertensive crisis. This decision shows a lack of understanding of the importance of proper medication management and the potential risks involved.
Choices A, C, and D all demonstrate a reasonable understanding of antidepressant therapy and do not indicate immediate safety concerns.
Question 3 of 5
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because accepting gifts from patients can create a conflict of interest and compromise the nurse's professional boundaries. By politely declining the gift in response to the patient's gratitude, the nurse maintains professionalism and reinforces the therapeutic relationship. This response acknowledges the patient's gratitude while emphasizing the nurse's commitment to ethical practice.
Choices A and B are incorrect because they either violate facility policies or fail to address the issue of accepting gifts.
Choice D is incorrect as it does not address the ethical dilemma of accepting gifts from patients.
Question 4 of 5
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because intergenerational transmission of violence refers to the cycle where individuals who grow up in violent households are more likely to perpetuate domestic violence in their own relationships. This response directly addresses the concept by highlighting the link between childhood exposure to violence and adult behavior.
Choice A is incorrect as it oversimplifies the issue by attributing violence solely to neurochemical imbalances, ignoring the impact of environmental factors like upbringing.
Choice C is incorrect as it suggests violence is solely genetic, which is not supported by research that shows the influence of learned behavior.
Choice D is incorrect as it presents an inaccurate statement about domestic violence skipping generations, which is not a recognized pattern in the transmission of violence.
Question 5 of 5
Which patient is the best candidate for brief psychodynamic therapy?
Correct Answer: A
Rationale: The correct answer is A because brief psychodynamic therapy is typically suitable for individuals with specific, time-limited issues like the aftermath of an extramarital affair. This type of therapy focuses on exploring unconscious conflicts and patterns related to the specific problem.
Choices B, C, and D present more complex and severe issues that would likely require longer-term or more intensive therapies such as cognitive-behavioral therapy, dialectical behavior therapy, or medical interventions. It is important to match the therapy approach to the individual's needs and presenting concerns.