ATI RN
ATI RN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
A client is mimicking every movement that the provider is making. What behavior are they displaying?
Correct Answer: B
Rationale: The correct answer is B: echopraxia. Echopraxia is the behavior of mimicking someone else's movements. In this scenario, the client copying the provider's actions fits the definition of echopraxia. Echolalia (choice A) is the repetition of words or phrases, not movements. Stereotypy (choice C) refers to repetitive or ritualistic movements, not necessarily copying another person. Posturing (choice D) involves assuming and maintaining a rigid or bizarre posture, not mimicking movements like in the given scenario. Therefore, echopraxia is the most appropriate term to describe the client's behavior in this situation.
Question 2 of 5
Donald, a 49-year-old male, is admitted for inpatient alcohol detoxification. He is cachexic, has multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing diagnosis for Donald along with an expected outcome is:
Correct Answer: C
Rationale: The correct answer is C: Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs. Rationale: 1. Donald is cachexic, indicating severe malnutrition. 2. Multiple scabs suggest poor wound healing due to malnutrition. 3. Lower extremity edema can be a sign of protein deficiency. 4. The nursing diagnosis of Nutrition: Less than body requirements fits Donald's clinical presentation. 5. The expected outcome of Maintains nutrient intake for metabolic needs addresses the goal of improving Donald's nutritional status. Summary: A: Risk for injury/Remains free from injury - Not the best choice as Donald's primary issue is malnutrition, not injury risk. B: Ineffective denial/Accepts responsibility for behavior - Not relevant to the physical health issues presented by Donald. D: Risk for suicide/Expresses feelings, plans for the future - Donald's symptoms do not suggest a risk for suicide.
Question 3 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 4 of 5
The nurse makes a home visit to a client who has dysthymic disorder. Which of the following would the nurse expect to assess?
Correct Answer: A
Rationale: The correct answer is A: Low energy. Dysthymic disorder is characterized by persistent low mood, which often leads to decreased energy levels. Individuals with dysthymic disorder may experience fatigue, lack of motivation, and difficulty engaging in activities. Intense concentration (B) is not typically associated with dysthymic disorder, as individuals may have difficulty focusing due to their low energy and mood. Agitation (C) is more commonly seen in conditions such as anxiety disorders, rather than dysthymic disorder. Normal appetite (D) may or may not be present in individuals with dysthymic disorder, as appetite changes can vary among individuals.
Question 5 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.