ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
An advanced practice psychiatric nurse is preparing to conduct a support group for psychiatric mental health nurses who have been assaulted by patients. Which of the following would the nurse need to keep in mind with this group?
Correct Answer: A
Rationale: The correct answer is A because nurses in this situation may struggle with conflicting roles of being caregivers and victims, leading to feelings of guilt, self-blame, or inadequacy. This conflict can affect their ability to provide care effectively.
Choice B is incorrect as nurses may not always choose to prosecute patients due to various reasons such as fear of retaliation or wanting to maintain a therapeutic relationship.
Choice C is incorrect as not all nurses may feel comfortable or able to actively express their feelings about the assaults.
Choice D is incorrect as nurses who have been assaulted by patients often experience guilt, shame, or self-blame due to societal stigma or internalized beliefs.
Question 2 of 5
Some cultures have lower rates of diagnosed conduct disorders than observed in Western societies. The lower rate of incidence may be contributed to:
Correct Answer: C
Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder.
Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders.
Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.
Question 3 of 5
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Altering routines may disrupt stability and increase anxiety for children.
2. Children benefit from consistency post-divorce to provide a sense of security.
3. Acknowledging children are not to blame is crucial for their emotional well-being.
4. Developing a regular visitation schedule fosters predictability and comfort.
5. Consistent limits help establish boundaries and structure for children.
Therefore, statement A indicates a need for additional teaching as it could potentially harm the children's emotional well-being by disrupting their routines.
Question 4 of 5
A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
Correct Answer: D
Rationale: The correct answer is D because massaging pressure points can cause skin breakdown in a child in skeletal traction. The pressure exerted during massage can lead to tissue damage and compromise skin integrity. This can result in pressure ulcers or sores, which can be extremely detrimental to the child's recovery. Providing a high protein snack (
A) is beneficial for healing, assisting the child to reposition (
B) helps prevent complications, and placing weights as a child's bed (
C) is necessary for maintaining traction and should not be changed without proper authorization.
Question 5 of 5
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the nurse practitioner:
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a cognitive restructuring process. The patient challenges a negative thought ("everyone at school hates me") with evidence to the contrary ("Most people like me and I have a friend named
Todd"). This shows progress in identifying and changing maladaptive thought patterns.
Choice A indicates aggression, choice C shows difficulty in implementing coping skills, and choice D suggests impulsivity without addressing underlying issues.