ATI RN
ATI PN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
A nurse is participating in a neighborhood health fair and is screening participants for depression. Which individual would the nurse anticipate as being at increased risk for depression?
Correct Answer: A
Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.
Question 2 of 5
A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Maintain the head at a midline position. This intervention helps to optimize cerebral perfusion and reduce the risk of further increasing intracranial pressure. Placing the head at a midline position promotes proper alignment of the brain structures and facilitates adequate blood flow to the brain. A: Performing active range of motion exercises can increase intracranial pressure and should be avoided in this situation. B: Neurological checks every 4 hours are important but do not directly address the issue of maintaining intracranial pressure. C: Suctioning the airway frequently can also increase intracranial pressure and should be done only when necessary to maintain airway patency. In summary, maintaining the head at a midline position is the most appropriate intervention to manage increased intracranial pressure in a child with a decreased level of consciousness.
Question 3 of 5
A nurse is assessing a client who is presenting with symptoms of hallucinations and delusions. They have had these symptoms for a week. The client does not have a history of a mood disorder; they do not have any medical conditions or history of substance misuse. What is the client's most likely diagnosis?
Correct Answer: C
Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.
Question 4 of 5
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Correct Answer: C
Rationale: The correct answer is C: Advocacy. The nurses have fulfilled the role of advocacy by actively supporting and promoting the interests of persons diagnosed with mental illness through writing letters to their elected representatives in opposition to the bill that reduces funding for their care. Advocacy involves speaking up on behalf of others to influence decisions and policies that affect their well-being. Summary: A: Recovery - This choice is incorrect as recovery refers to the process of restoring health or functioning after an illness or injury, which is not the primary focus of the nurses' actions in this scenario. B: Attending - This choice is incorrect as attending typically refers to being present or participating in an event, which does not accurately describe the nurses' actions of writing letters to oppose the bill. D: Evidence-based practice - This choice is incorrect as evidence-based practice involves using current research and evidence to inform decision-making in healthcare, which is not the main role exhibited by the nurses in this scenario.
Question 5 of 5
A group of nursing students are reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality?
Correct Answer: A
Rationale: The correct answer is A: Madeleine Leininger. Leininger is known for developing the theory of cultural care diversity and universality, which emphasizes the importance of cultural factors in nursing care. She introduced the concept of transcultural nursing, highlighting the need for nurses to consider cultural beliefs and practices when providing care. This theory promotes culturally sensitive and competent care to meet the diverse needs of patients. Choice B: Sister Calista Roy, is known for the adaptation model, which focuses on the individual's response to stressors. Choice C: Hildegard Peplau, is known for the interpersonal relations theory, focusing on the nurse-patient relationship. Choice D: Dorothea Orem, is known for the self-care deficit theory, which emphasizes the patient's ability to meet their own care needs. These theories are valuable in nursing practice but do not specifically address cultural diversity and universality like Leininger's theory does.