ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
Correct Answer: C
Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.
Question 2 of 5
A nurse is providing care to several chronically ill children. Which of the following would the nurse identify as having the greatest risk for developing a psychiatric problem?
Correct Answer: B
Rationale: The correct answer is B: 5-year-old with cerebral palsy. Children with cerebral palsy often face challenges in mobility, communication, and social interactions, which can contribute to the development of psychiatric problems. The physical limitations and the impact on daily activities can lead to feelings of frustration, isolation, and low self-esteem, increasing the risk of psychiatric issues. The other choices (A, C, D) do not inherently pose the same level of risk for developing psychiatric problems as cerebral palsy. Children with diabetes mellitus (A) can manage their condition with proper care, children with chronic renal disease (C) may face physical health challenges but not necessarily psychiatric problems, and a heart murmur (D) is a physical condition that typically does not directly affect mental health.
Question 3 of 5
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Women and men experience anger differently due to societal norms and expectations. 2. Research shows women may express anger less overtly but experience it at similar rates. 3. Recognizing gender differences in anger is crucial for healthcare professionals. 4. Answer D is correct as it highlights the importance of understanding gender disparities in anger expression. Summary: A: Incorrect - Anger, aggression, and violence are related but not necessarily points along a continuum. B: Incorrect - Precision of terms is not the main focus when discussing anger, aggression, and violence. C: Incorrect - Anger is not always a knee-jerk reaction; it can be complex and multifaceted. D: Correct - Women experience anger differently from men, making this statement appropriate for nursing education.
Question 4 of 5
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizoaffective disorder. This is because the client is experiencing both psychotic symptoms (hearing voices, feeling followed) and mood symptoms (major depressive episode). Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. A: Paranoid schizophrenia is incorrect because the client's symptoms do not solely fit the criteria for paranoid schizophrenia, as there are also depressive symptoms present. B: Undifferentiated schizophrenia is incorrect as the client's symptoms do not fully align with the criteria for schizophrenia and there is a clear mood component present. C: Brief psychotic disorder is incorrect as the client's symptoms have been present for more than the specified duration for this disorder. In summary, the presence of both psychotic and mood symptoms over time points towards the diagnosis of schizoaffective disorder.
Question 5 of 5
The nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
Correct Answer: A
Rationale: The correct answer is A: Nutrition patterns. Priority in assessing a client with borderline personality disorder is to ensure basic needs are met. Nutrition patterns impact physical and mental health. Personal hygiene (B), physical functioning (C), and somatic complaints (D) are important but addressing nutrition patterns takes precedence in ensuring overall well-being and stability for the client.