ATI RN
RN Mental Health 2023 ATI Proctored Questions
Question 1 of 5
A nurse is preparing to assess a middle-aged male client who was brought to the emergency department by his wife. She reports that the client has been extremely depressed lately. When assessing this client, which of the following would be a priority assessment?
Correct Answer: B
Rationale: The correct answer is B: Thoughts of self-harm. This is the priority assessment because it indicates the client's risk of harm to himself. Assessing for self-harm is crucial in determining the immediate safety of the client. Changes in sleeping patterns, appetite, and fatigue are important assessments in evaluating depression but do not directly address the client's immediate safety. It is essential to address the most critical issue first to ensure the client's well-being.
Question 2 of 5
Which client situation is an example of normal ego development?
Correct Answer: C
Rationale: The correct answer is C because the client exhibiting the ability to assert themselves without anger or aggression reflects a healthy ego development. This behavior demonstrates assertiveness and self-confidence, which are essential components of normal ego development. In contrast, option A indicates dependency, B shows low self-esteem, and D suggests issues with guilt and morality, all of which are not indicative of normal ego development.
Question 3 of 5
A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are 'tracks' visible on his arms. The friend who came with him reports that the client had just 'shot up' heroin when he became unconscious. Which medication would the nurse most likely expect to administer?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Naloxone is a medication used to reverse opioid overdose by blocking opioid receptors in the brain. In this case, the man's symptoms of slow respirations and pinpoint pupils are indicative of opioid overdose. Naloxone can quickly restore normal breathing and consciousness. Naltrexone (B) is used for opioid addiction treatment but not for acute overdose reversal. Bupropion (C) is an antidepressant and smoking cessation aid, not indicated for opioid overdose. Varenicline (D) is a smoking cessation aid and is not used for opioid overdose reversal.
Question 4 of 5
The nurse's lack of verbal communication for therapeutic reasons is to"silence" as the nurse's ability to process information and examine reactions to the messages received is to:
Correct Answer: D
Rationale: The correct answer is D: "Listening." Listening in therapeutic communication involves not just hearing what the patient is saying, but also understanding the message, interpreting non-verbal cues, and providing appropriate responses. It is essential for building trust, showing empathy, and facilitating a therapeutic relationship. "Focusing" (A) is about directing the conversation to important topics, "Offering self" (B) involves sharing personal experiences or emotions, and "Restating" (C) is repeating what the patient has said, all of which are important communication techniques but not directly related to processing information and examining reactions like active listening.
Question 5 of 5
A newly admitted patient diagnosed with major depressive disorder has gained 20 pounds over a few months and has suicidal ideation. The patient has taken antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
Correct Answer: C
Rationale: The priority nursing diagnosis in this scenario is C: Risk for suicide. This is because the patient's suicidal ideation poses an immediate threat to their safety and needs to be addressed urgently to ensure their well-being. The patient's weight gain and lack of symptom improvement with antidepressants are important factors but do not take precedence over the risk of suicide. Imbalanced nutrition and chronic low self-esteem are not the priority as they are not immediately life-threatening. Hopelessness is also important but addressing the risk for suicide takes precedence in this critical situation.