ATI RN
ATI PN Mental Health Proctored Exam 2023 Questions
Question 1 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 2 of 5
A black patient says to a white nurse, "There's no sense talking about how I feel. You wouldn't understand because you live in a white worl" The nurse's best action would be to
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Option B promotes active listening and encourages the patient to express their feelings further. 2. By asking for specific examples, the nurse shows genuine interest in understanding the patient's perspective. 3. This approach helps build trust and rapport, leading to better communication and a more effective therapeutic relationship. Summary of Other Choices: A: This response dismisses the patient's concerns and lacks empathy, which may lead to further feelings of isolation. C: While this response acknowledges diversity, it does not address the patient's specific feelings and may come across as deflecting the issue. D: Changing the subject avoids addressing the patient's concerns and may lead to a breakdown in communication and trust.
Question 3 of 5
A nurse is preparing a presentation about the current status of mental health services in the United States. Which statement would the nurse include as the most reflective of this status?
Correct Answer: D
Rationale: The correct answer is D: Mental health care services are inadequate and fragmented. This is the most reflective statement of the current status of mental health services in the United States. 1. Inadequate services: Many individuals face barriers in accessing mental health care due to factors such as cost, stigma, and lack of providers. 2. Fragmented services: The mental health care system in the U.S. is often disjointed, with gaps in service provision and coordination between different providers and agencies. 3. Lack of resources: There is a shortage of mental health professionals and funding for mental health services, further contributing to the inadequacy and fragmentation of care. Other choices are incorrect because: A: Mental health care is not equally accessible, as there are disparities in access based on factors like income and location. B: While mental illness is a significant cause of disability, this statement does not address the current status of mental health services. C: Mental health care focuses on a range of interventions, including
Question 4 of 5
A depressed client discussing marital problems with the nurse says,"What will I do if my husband asks me for a divorce?" Which response by the nurse would be an example of therapeutic communication?
Correct Answer: C
Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.
Question 5 of 5
A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. In Alzheimer's disease, agnosia is commonly seen due to damage in the brain areas responsible for processing sensory information. Asking the client to identify common objects helps assess their ability to recognize and comprehend the objects correctly. A: Aphasia is the impairment of language function, not object recognition. B: Apraxia is the inability to perform purposeful movements, not related to object recognition. D: Executive functioning involves cognitive processes such as planning, organizing, and decision-making, not directly related to object recognition in Alzheimer's disease.