ATI RN
ATI RN Mental Health Proctored Exam 2023 Questions
Question 1 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.
Question 2 of 5
A client states to the nurse,"I'm thinking about ending it all." Which response by the nurse would be an example of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy and reflects the client's feelings. It acknowledges the client's emotions without judgment, which can help establish trust. Choice A is incorrect as it can come off as dismissive. Choice B is inappropriate as it diverts attention from the client's feelings. Choice C is also incorrect as it can be perceived as confrontational and may discourage the client from expressing their emotions further. In summary, option D is the most appropriate response as it shows empathy and validates the client's emotions.
Question 3 of 5
A group of students are reviewing the goals identified by the New Freedom Commission on Mental Health. The students demonstrate understanding of this report when they identify which of the following as a goal?
Correct Answer: B
Rationale: Step-by-step rationale: 1. The New Freedom Commission emphasizes consumer and family empowerment in mental health care. 2. Involving consumers and families as driving forces ensures individualized and effective care. 3. This approach aligns with person-centered care principles. 4. Empowering consumers and families promotes collaboration and shared decision-making. 5. This goal enhances mental health outcomes and promotes recovery. Summary: Choice B is correct because it reflects the emphasis on consumer and family involvement in mental health care by the New Freedom Commission. Choices A, C, and D are incorrect as they do not align with the key focus of consumer and family empowerment in the Commission's goals.
Question 4 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 5 of 5
A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals'responses, anticipating which of the following?
Correct Answer: A
Rationale: The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders. Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship. Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.