ATI RN
ATI Mental Health Exam Questions
Question 1 of 5
A group of nursing students is preparing a class presentation comparing the different types of cognitive therapies. When describing solution-focused brief therapy, which of the following would the students identify as being different from the other therapies?
Correct Answer: A
Rationale: Solution-focused brief therapy differs from other cognitive therapies by focusing on the functional aspects of the patient rather than solely on problems. This approach emphasizes strengths and solutions, aiming to help clients identify and build on their existing resources to achieve their goals. By focusing on the positive and functional aspects, solution-focused brief therapy promotes a forward-looking and goal-oriented approach. In contrast, other therapies may focus more on challenging the existence of problems (choice B), recognizing change as constant (choice C), or delving into past experiences (choice D).
Question 2 of 5
The nurse is providing a presentation for a group of health professionals about suicide. Which of the following would the nurse address as a major contributing factor to the rising suicide rate among men?
Correct Answer: A
Rationale: The correct answer is A: Substance abuse. Substance abuse is a significant contributing factor to the rising suicide rate among men because it can lead to depression, impaired judgment, and impulsive behavior, all of which increase the risk of suicide. Substance abuse can also exacerbate underlying mental health issues. In contrast, media influences, lack of conflict resolution skills, and parenting practices, while important factors in mental health, are not as directly linked to the increased suicide rate among men compared to substance abuse.
Question 3 of 5
The nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed mirtazapine. The nurse interprets this information, identifying this agent as which type?
Correct Answer: D
Rationale: The correct answer is D: Alpha-2 antagonist. Mirtazapine is classified as a noradrenergic and specific serotonergic antidepressant (NaSSA), which acts as an alpha-2 adrenergic receptor antagonist. This mechanism of action increases the release of norepinephrine and serotonin in the brain, leading to its antidepressant effects. Selective serotonin reuptake inhibitors (SSRIs) inhibit the reuptake of serotonin, cyclic antidepressants primarily inhibit reuptake of norepinephrine and serotonin, and norepinephrine dopamine reuptake inhibitors (NDRIs) inhibit the reuptake of norepinephrine and dopamine. Thus, choices A, B, and C are incorrect in this context.
Question 4 of 5
A nurse is implementing a brief intervention with a client who is abusing alcohol. The nurse most likely would be involved with which of the following?
Correct Answer: B
Rationale: The correct answer is B because negotiating a conversation with the client to reduce alcohol use is a key component of brief interventions for alcohol abuse. The nurse's goal is to motivate the client to make positive changes in behavior. Asking questions about alcohol use (A) is important but not the primary focus. Pointing out inconsistencies (C) is more aligned with cognitive-behavioral therapy, not brief interventions. Helping the client change thinking patterns (D) is also important but not as directly related to the initial brief intervention process.
Question 5 of 5
A nurse in an outpatient clinic is assessing a child, and the nurse will interview the child and the child's parents separately. Which of the following comments would the nurse anticipate the child making during the upcoming interview?
Correct Answer: C
Rationale: The correct answer is C because the child expressing sadness and having trouble sleeping may indicate underlying emotional or mental health issues. This information can help the nurse assess the child's well-being and provide appropriate support. Incorrect Answers: A: "I can't get along with my parents" - This statement may suggest conflict in the parent-child relationship but does not directly indicate the child's emotional state. B: "I yell at my parents a lot" - This statement implies behavioral issues rather than emotional distress. D: "I refuse to do what my parents tell me to" - This statement indicates defiance or disobedience but does not necessarily reflect the child's emotional well-being. In summary, choice C is correct as it provides valuable insight into the child's emotional state, whereas the other choices focus on different aspects of the parent-child relationship or behavior.