ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 9
A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition?
Correct Answer: A
Rationale: The correct answer is A because seeing and hearing things while falling asleep is a common symptom of narcolepsy called hypnagogic hallucinations. This occurs during the transition between wakefulness and sleep. Choice B describes symptoms of restless leg syndrome, not narcolepsy. Choice C describes symptoms of insomnia. Choice D indicates a history of sleep disturbances due to previous medication use, not narcolepsy. Therefore, choice A is the most indicative of narcolepsy.
Question 2 of 9
Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder?
Correct Answer: B
Rationale: The correct answer is B because saying "He deserved it for being a sissy" shows a lack of empathy and justification for aggressive behavior, which is a common trait in children with conduct disorder. Children with conduct disorder often lack remorse and blame others for their actions. Choice A shows remorse, Choice C shows minimization of the act, and Choice D shows blaming the victim, which are not typical of conduct disorder.
Question 3 of 9
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (A) and paranoid delusions (B) are not directly associated with a family history of alcoholism. Extroversion (D) is a personality trait and not necessarily linked to the patient's family background.
Question 4 of 9
An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?
Correct Answer: C
Rationale: The correct answer is C because providing updates and progress reports on the patient can help alleviate the spouse's anxiety and frustration. By keeping the spouse informed, the nurse can demonstrate empathy and respect for their concerns, maintaining open communication and building trust. Offering coffee (A) may be seen as dismissive, explaining the condition (B) may not address the spouse's emotional needs, and suggesting the spouse leave (D) could worsen the situation by alienating them from the patient's care.
Question 5 of 9
Isadora is a middle-aged woman living in a group home after being discharged from a psychiatric institution nearly 20 year ago. Isadora keeps to herself, stays in her room most of the day, and only ventures out for meals. Cassandra, the house manager, encourages Isadora to:
Correct Answer: B
Rationale: The correct answer is B: Join a day program clubhouse. This option is the most appropriate as it offers Isadora socialization, structured activities, and support, which can help her overcome isolation and improve her mental well-being. Looking for a job (A) may be too overwhelming for Isadora at this point. Assisting in the kitchen (C) may not address her socialization needs. Taking on a roommate (D) could potentially increase Isadora's stress levels instead of addressing her social isolation.
Question 6 of 9
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?
Correct Answer: A
Rationale: The correct answer is A because Carolina should show genuine interest in the patient's decision and willingness to learn more about the therapy app. This approach demonstrates empathy, openness to new technologies, and a collaborative attitude. It also allows Carolina to explore the app's features, efficacy, and potential benefits for the patient's treatment. By engaging with the patient in this way, Carolina can better understand the patient's perspective and tailor her approach accordingly. Choices B, C, and D are incorrect because they either dismiss the patient's choice outright (B), express reluctance without further exploration (C), or come off as confrontational (D). These responses may alienate the patient, hinder the therapeutic relationship, and impede progress. It's essential for Carolina to maintain a supportive and client-centered approach in addressing the patient's decision.
Question 7 of 9
A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition?
Correct Answer: A
Rationale: The correct answer is A because seeing and hearing things while falling asleep is a common symptom of narcolepsy called hypnagogic hallucinations. This occurs during the transition between wakefulness and sleep. Choice B describes symptoms of restless leg syndrome, not narcolepsy. Choice C describes symptoms of insomnia. Choice D indicates a history of sleep disturbances due to previous medication use, not narcolepsy. Therefore, choice A is the most indicative of narcolepsy.
Question 8 of 9
A client with borderline personality disorder tells the nurse, I'm afraid to get on a train because we'll probably get into a wreck. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "What are the chances of that actually happening?" This response acknowledges the client's fear while prompting critical thinking about the likelihood of the feared event. It encourages the client to examine the rationality of their fear and challenges distorted thinking common in borderline personality disorder. A: Asking about a bad experience focuses on past events rather than addressing the client's current fear. C: Telling the client it won't happen dismisses their fear and does not address the underlying issue. D: Suggesting another mode of transportation avoids addressing the client's fear directly and does not promote critical thinking.
Question 9 of 9
The plan of care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?
Correct Answer: B
Rationale: The correct answer is B: Anger management. This is because anger management techniques are specifically designed to help individuals recognize triggers, control emotions, and respond in more constructive ways. Self-monitoring of cues (A) involves identifying personal anger cues but does not necessarily address management strategies. Relaxation training (C) focuses on reducing stress, not specifically managing anger. Response disruption (D) involves interrupting negative behaviors but does not encompass the comprehensive strategies of anger management.