ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 of 5
A nurse is planning to provide teaching to a young adult client with insomnia. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C - Keep bedroom cool at night. This is important because a cool environment promotes better sleep by helping the body lower its core temperature, which is essential for falling and staying asleep. Choice A is incorrect as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Choice B is incorrect as taking a nap during the day can interfere with the ability to fall asleep at night. Choice D is incorrect as consuming a high carbohydrate snack at bedtime may disrupt sleep due to potential indigestion or fluctuations in blood sugar levels. In summary, maintaining a cool bedroom temperature is crucial for promoting quality sleep in individuals with insomnia.
Question 2 of 5
A female patient, who is in her late 30s, is describing her home life to the nurse. The nurse determines that the patient is a member of the sandwich generation based on which of the following?
Correct Answer: A
Rationale: The correct answer is A because the term "sandwich generation" refers to individuals who are simultaneously caring for their own young children and aging parents. In this scenario, the patient has a young adult child at home and an elderly parent to care for, indicating that she fits the definition of the sandwich generation. Choices B, C, and D are incorrect because they do not meet the criteria for being part of the sandwich generation. Choice B states that the young adult child is married and living away from home, which means the patient is not actively caring for the child. Choice C mentions that the patient's young adult child is away at college and without living parents, which also does not align with the sandwich generation definition. Choice D indicates that the patient has no responsibilities regarding her children or parents, which would not qualify her as part of the sandwich generation.
Question 3 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in patients with schizophrenia poses the greatest risk for injury to others as it can lead to aggressive behavior, violence, or harm towards others due to the patient's irrational belief that others are trying to harm them. This can result in dangerous situations where the patient may act out in self-defense or in an attempt to protect themselves from perceived threats. Explanation of other choices: A: Depersonalization does not typically lead to physical harm to others but rather a sense of detachment from oneself. B: Pressured speech may be a symptom of mania or anxiety disorders, but it is not directly linked to physical harm towards others. C: Negative symptoms refer to a decrease in normal emotional responses or other functions, which do not inherently pose a direct risk of injury to others.
Question 4 of 5
Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depression, the nurse would caution the patient about which over-the-counter supplement(s)? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.
Question 5 of 5
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates respect for the patient's autonomy and builds trust in the nurse-patient relationship. By contacting resources to provide medications without charge, the nurse addresses the patient's financial constraint while honoring their wishes to avoid the hospital. This intervention promotes continuity of care and supports the patient's well-being. Option B is incorrect because it does not address the patient's immediate need for medications and may not align with the patient's preferences. Option C is inappropriate as hospitalization should be a last resort and may not be necessary in this case. Option D is not the best initial intervention as it does not directly address the patient's concerns about being perceived as a traitor.