ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
A nurse is assessing a client with borderline personality disorder. Which question would be most appropriate to assess the client's level of impulsivity?
Correct Answer: B
Rationale: The correct answer is B: "Have you ever felt sorry after acting as you did on the spur of the moment?" This question directly assesses the client's level of impulsivity by probing into their past impulsive actions and their subsequent feelings of regret. Impulsivity is characterized by acting without thinking of the consequences, often leading to regret afterwards. Choices A, C, and D do not directly address impulsivity but instead focus on the client's emotions, views on others, and dissociative experiences respectively, which are not specifically related to impulsivity.
Question 2 of 5
Which patient is the best candidate for brief psychodynamic therapy?
Correct Answer: A
Rationale: The correct answer is A because brief psychodynamic therapy is typically suitable for individuals with specific, time-limited issues like the aftermath of an extramarital affair. This type of therapy focuses on exploring unconscious conflicts and patterns related to the specific problem. Choices B, C, and D present more complex and severe issues that would likely require longer-term or more intensive therapies such as cognitive-behavioral therapy, dialectical behavior therapy, or medical interventions. It is important to match the therapy approach to the individual's needs and presenting concerns.
Question 3 of 5
A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because intergenerational transmission of violence refers to the cycle where individuals who grow up in violent households are more likely to perpetuate domestic violence in their own relationships. This response directly addresses the concept by highlighting the link between childhood exposure to violence and adult behavior. Choice A is incorrect as it oversimplifies the issue by attributing violence solely to neurochemical imbalances, ignoring the impact of environmental factors like upbringing. Choice C is incorrect as it suggests violence is solely genetic, which is not supported by research that shows the influence of learned behavior. Choice D is incorrect as it presents an inaccurate statement about domestic violence skipping generations, which is not a recognized pattern in the transmission of violence.
Question 4 of 5
The nurse is assessing a newly admitted client diagnosed with schizoaffective disorder. The nurse assesses the client's level of anxiety and reactions to stressful situations, obtaining this information for which reason?
Correct Answer: C
Rationale: The correct answer is C: To act as a predictor of the client's risk for a suicide attempt. Assessing the client's level of anxiety and reactions to stressful situations is crucial in determining the likelihood of a suicide attempt, as individuals with schizoaffective disorder are at a higher risk for suicide. By understanding the client's anxiety levels and responses to stress, the nurse can intervene early to prevent potential harm. Choice A is incorrect because assessing anxiety levels is more focused on immediate risk factors rather than long-term outcomes. Choice B is incorrect because mental competency is typically assessed through other means. Choice D is incorrect as social skills evaluation is not the primary purpose of assessing anxiety levels in this context.
Question 5 of 5
A client is diagnosed with generalized anxiety disorder and is prescribed medication therapy. Which agent would the nurse expect to administer to the client to obtain the quickest relief from anxiety symptoms?
Correct Answer: C
Rationale: The correct answer is C: Alprazolam. Alprazolam is a benzodiazepine that works quickly to alleviate anxiety symptoms due to its rapid onset of action. It enhances the effects of GABA, a neurotransmitter that reduces brain activity, providing immediate relief. Buspirone (A) may take weeks to reach full effect. Venlafaxine (B) is an SNRI that also takes time to show efficacy. Imipramine (D) is a tricyclic antidepressant with delayed onset of action and is not typically used as a first-line treatment for anxiety.