ATI RN
Mental Health Proctored ATI Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest?
Correct Answer: D
Rationale: Correct Answer: D - Establish a regular time for going to bed and getting up in the morning. Rationale: Setting a consistent bedtime and wake-up time helps regulate the body's internal clock, promoting better sleep quality. This routine helps synchronize the body's natural sleep-wake cycle, making it easier to fall asleep and wake up feeling refreshed. Consistency reinforces the body's circadian rhythm, enhancing overall sleep hygiene. Summary: A: Eating right before bed can disrupt sleep by causing indigestion and discomfort. B: Exercising right before bedtime can stimulate the body and mind, making it harder to fall asleep. C: Drinking tea before bed may contain caffeine or disrupt the need to wake up for bathroom trips, affecting sleep quality.
Question 5 of 5
A group of nursing students is reviewing information about age-related changes occurring in cognition and intellectual performance. The students demonstrate understanding of the information when they identify which of the following as a normal cognitive change?
Correct Answer: B
Rationale: The correct answer is B: Slowed information processing. As individuals age, it is normal for their cognitive processing speed to decrease. This is a common age-related change in cognition due to factors such as decreased brain processing efficiency. Slowed information processing does not necessarily indicate cognitive impairment but is a normal part of aging. A: Disorientation to time is not a normal cognitive change but rather a sign of cognitive impairment or confusion. C: Diminished executive functioning refers to difficulties in tasks such as planning, problem-solving, and decision-making, and is not a normal age-related change. D: Restricted judgment is not a typical age-related cognitive change but may indicate cognitive decline or impairment.