ATI RN
ATI Mental Health Proctored Exam 2023 PDF Questions
Question 1 of 5
A client with major depression visits the mental health clinic and tells the nurse that he has recently started using marijuana quite frequently. The nurse determines that the manifestation of the client's co-occurring disorder reflects which of the following?
Correct Answer: A
Rationale: The correct answer is A: Primary mental illness with subsequent substance use. In this scenario, the client's major depression is the primary mental illness, and the use of marijuana is a secondary behavior or coping mechanism. The client is using marijuana as a way to self-medicate or alleviate symptoms of depression. It is important to address the underlying mental health issue (major depression) as the primary concern. Choice B is incorrect because it suggests that substance abuse is the primary disorder with subsequent psychopathologic consequences, which is not the case in this scenario. Choice C is incorrect as it implies that both major depression and substance use are primary diagnoses, which is not the most accurate interpretation of the situation presented. Choice D is incorrect because it suggests a common cause for both conditions, which is not supported by the information provided.
Question 2 of 5
A client with major depression visits the mental health clinic and tells the nurse that he has recently started using marijuana quite frequently. The nurse determines that the manifestation of the client's co-occurring disorder reflects which of the following?
Correct Answer: A
Rationale: The correct answer is A: Primary mental illness with subsequent substance use. In this scenario, the client's major depression is the primary mental illness, and the use of marijuana is a secondary behavior or coping mechanism. The client is using marijuana as a way to self-medicate or alleviate symptoms of depression. It is important to address the underlying mental health issue (major depression) as the primary concern. Choice B is incorrect because it suggests that substance abuse is the primary disorder with subsequent psychopathologic consequences, which is not the case in this scenario. Choice C is incorrect as it implies that both major depression and substance use are primary diagnoses, which is not the most accurate interpretation of the situation presented. Choice D is incorrect because it suggests a common cause for both conditions, which is not supported by the information provided.
Question 3 of 5
The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:
Correct Answer: D
Rationale: The correct answer is D: A potential symptom of traumatization. This behavior of playacting as a police officer and causing fear in other children can be a red flag for trauma. Trauma can manifest in various ways in children, including through aggressive or controlling behaviors. The boy may be reenacting a traumatic event he witnessed or experienced, using the role of a police officer to process his feelings of powerlessness or fear. It is important for the nurse to consider the possibility of trauma and address it appropriately. Choices A, B, and C are incorrect because they do not directly address the concerning behavior displayed by the child. The behavior is not simply about the need to dominate others, inventing traumatic events, or developing close relationships. Instead, it suggests deeper psychological distress that requires a trauma-informed approach for intervention.
Question 4 of 5
While leading a small group, the nurse sets up the ground rules at the beginning of the group's first meeting. One of the rules established is that the group will always start at the specified time rather than waiting to start until after everyone has arrived. This rule reflects which of the following?
Correct Answer: A
Rationale: The correct answer is A: Group norms. Setting up the rule that the group will always start at the specified time establishes an expected behavior within the group, known as a group norm. This norm guides the group's interactions and helps create a structured and efficient environment. Group cohesion (B) refers to the bond among group members, which is not directly related to the specified starting time. Group think (C) is a phenomenon where group members prioritize harmony and conformity over critical thinking, which is not reflected in the rule mentioned. Group process (D) is a broader term that encompasses all aspects of how a group functions, including communication and decision-making, but it does not specifically address the established starting time norm.
Question 5 of 5
Which is an example of an individual successfully completing Erikson's"school age" stage of development?
Correct Answer: D
Rationale: The correct answer is D because Erikson's "school age" stage focuses on developing a sense of industry and competence. By trying out for cheerleading, the 11-year-old girl is demonstrating initiative and feeling accomplished, which aligns with this stage. Choice A is incorrect as it relates more to peer pressure and moral development. Choice B is incorrect as it focuses on social interaction skills, not specifically related to Erikson's stage. Choice C is incorrect as it pertains to independent play, not directly linked to Erikson's concept of industry and competence. Overall, D best exemplifies successful completion of the "school age" stage.