ATI RN
ATI Mental Health Proctored Exam 2024 Questions
Question 1 of 9
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Provide standby assist with the client from bed. This is appropriate after administering lisinopril, which can cause dizziness or lightheadedness. Assisting the client from bed ensures safety. Placing cardiac monitoring (A) is not necessary unless there are specific indications. Monitoring oxygen saturation (B) is not directly related to lisinopril administration. Encouraging foods high in potassium (D) is not the immediate priority post-lisinopril administration.
Question 2 of 9
What type of alteration is more specific to delirium than to dementia?
Correct Answer: C
Rationale: The correct answer is C: alteration in attention. Delirium is characterized by acute onset and fluctuating course, leading to prominent deficits in attention. In contrast, dementia typically presents with gradual memory decline over months or years. Choices A and B are more indicative of dementia, as alterations developing over months and memory deficits are common in dementia. Choice D, no alteration in baseline, is not specific to either delirium or dementia, as both conditions can have alterations in baseline functioning.
Question 3 of 9
A client with a long history of alcohol use disorder comes to the out-patient clinic after losing a job and driver's license because of a driving under the influence infraction. With which member of the mental health-care team would the nurse collaborate to meet this client's described need?
Correct Answer: D
Rationale: The correct answer is D, collaborating with the social worker. The client's immediate needs involve addressing the loss of job and driver's license, which impacts their housing situation. The social worker can assist in planning housing arrangements, connecting the client with resources for stable housing, and addressing any social determinants of health contributing to the client's situation. This collaboration will provide a holistic approach to addressing the client's needs beyond just the alcohol use disorder. The other choices are incorrect because: A: In this scenario, the client's primary need is not related to anxiety but rather to the practical consequences of losing their job and driver's license due to alcohol use disorder. B: While counseling sessions to explore stressors may be beneficial in the long term, the client's immediate need is more urgent, focusing on practical solutions. C: Retraining and job placement may be important in the future, but at this time, the client's priority is addressing the housing situation and other immediate needs.
Question 4 of 9
A group of students is reviewing information about the etiology of generalized anxiety disorder (GAD). The students demonstrate understanding of this information when they identify which of the following as representing the psychoanalytic theory for this disorder?
Correct Answer: D
Rationale: The correct answer is D: Unresolved unconscious conflicts. According to the psychoanalytic theory, generalized anxiety disorder (GAD) stems from unresolved unconscious conflicts that manifest as excessive worry and anxiety. Sigmund Freud proposed that anxiety is a result of repressed emotions and unresolved conflicts from childhood. Individuals with GAD may be experiencing inner conflicts or unresolved issues that are causing them to feel anxious. The other choices are incorrect because they do not align with the psychoanalytic perspective, which focuses on internal conflicts rather than external stressors or neurological explanations like kindling.
Question 5 of 9
What is the current accepted professional view of the effect of culture on the development of a personality disorder?
Correct Answer: A
Rationale: Step 1: The correct answer is A because there isn't enough empirical evidence to confirm the role of ethnicity and race in the prevalence of personality disorders. Step 2: Culture and ethnic background can influence the development of personality disorders, but current research is inconclusive. Step 3: Choice B is incorrect because it makes a generalized statement without providing evidence or sources to support it. Step 4: Choice C is incorrect because culture and ethnic background can indeed play a role in the development of personality disorders. Step 5: Choice D is incorrect because while genetic factors may contribute to personality disorders, cultural factors also play a significant role.
Question 6 of 9
A nurse has completed an assessment of a patient who is experiencing significant stress. The assessment revealed intense anger and acting out behaviors along with statements of negative emotions. Which nursing diagnosis would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D: Ineffective coping. The patient is exhibiting intense anger, acting out behaviors, and expressing negative emotions, indicating a maladaptive response to stress. Ineffective coping addresses the inability to manage stressors and emotions effectively. A: Disturbed thought processes typically involve cognitive impairments or disorganized thinking, which is not the primary issue presented here. B: Low self-esteem focuses on negative self-perception, which may not be the root cause of the patient's current distress. C: Hopelessness pertains to a sense of despair and pessimism about the future, which may not be the main concern in this case. In summary, the patient's behaviors and statements suggest a lack of effective coping mechanisms, making "Ineffective coping" the most appropriate nursing diagnosis.
Question 7 of 9
The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?
Correct Answer: A
Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.
Question 8 of 9
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C: Provide standby assist with the client from bed. This is appropriate after administering lisinopril, which can cause dizziness or lightheadedness. Assisting the client from bed ensures safety. Placing cardiac monitoring (A) is not necessary unless there are specific indications. Monitoring oxygen saturation (B) is not directly related to lisinopril administration. Encouraging foods high in potassium (D) is not the immediate priority post-lisinopril administration.
Question 9 of 9
The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?
Correct Answer: B
Rationale: The correct answer is B because a victim of physical abuse may give a far-fetched explanation not logically connected to their injuries to protect their abuser or out of fear. In this scenario, the student requesting aspirin for back pain could potentially provide a vague or unrelated reason to explain the injuries if he is being abused. Choice A is incorrect because most victims of abuse are hesitant to report their abusers directly. Choice C is incorrect because it assumes the sister would give a similar explanation, which may not be the case. Choice D is incorrect because it presents a rationalization for abuse rather than a potential indicator of abuse. In summary, the correct answer, B, aligns with the behavior of abuse victims who may give inconsistent or illogical explanations to conceal the abuse.