ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
A nurse is working with a child for which an out-of-home placement has occurred. Which of the following would the nurse anticipate as the child's initial response?
Correct Answer: C
Rationale: The correct answer is C: Protest. When a child experiences an out-of-home placement, they typically respond with protest initially, displaying anger, resistance, and a sense of loss. This is a common reaction as the child may feel abandoned or confused. Despair (A) is usually a later response after protest. Withdrawal (B) involves isolating oneself, which is not an immediate response to out-of-home placement. Detachment (D) is a form of emotional disengagement, which is also not typically the initial response in this situation.
Question 2 of 5
The nurse is preparing to document information obtained from a client diagnosed with a delusional disorder who is experiencing somatic delusions. Which of the following would the nurse most likely document?
Correct Answer: D
Rationale: The correct answer is D: Body complaints. Somatic delusions involve false beliefs about one's body, such as having a serious illness or physical defect. The nurse would document the client's body complaints as they are directly related to the somatic delusions. Disorientation (A) and reduced attention span (B) are not specific to somatic delusions. Above average intelligence (C) is unrelated to the client's delusional disorder.
Question 3 of 5
The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client's affect and behavior will most likely be which of the following?
Correct Answer: A
Rationale: The correct answer is A: Angry and hostile. Individuals with paranoid personality traits often exhibit suspiciousness, mistrust, and a tendency to interpret others' actions as hostile or malevolent. This can lead to feelings of anger and hostility towards others. This affect and behavior align with the characteristics commonly seen in individuals with paranoid personality traits. Choices B, C, and D are incorrect because paranoid individuals are not typically flirtatious, seductive, fearful, anxious, friendly, or open in their interactions due to their underlying suspicious and mistrustful nature.
Question 4 of 5
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing the effect of caffeine on sleep with the client, which of the following would the nurse incorporate into the discussion as a caffeine effect?
Correct Answer: C
Rationale: The correct answer is C: Decreased REM sleep. Caffeine is a stimulant that can interfere with the sleep cycle by reducing the amount of REM (rapid eye movement) sleep, which is crucial for restorative functions. Here's the rationale: 1. Caffeine blocks adenosine receptors, which can disrupt the natural sleep stages, including REM sleep. 2. REM sleep is important for memory consolidation and cognitive function, so a decrease in REM sleep can lead to cognitive impairments. 3. Choices A and B are incorrect because caffeine typically increases sleep latency and decreases total sleep time. 4. Choice D is incorrect because caffeine is known to reduce slow-wave sleep, which is the deep, restorative stage of sleep.
Question 5 of 5
The nurse makes a home visit to a family caring for a client with Alzheimer's disease. The client's wife tells the nurse that she hasn't been out of the house for more than 2 weeks because her sister has been unable to help her care for the client. Which nursing diagnosis would the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Caregiver Role Strain related to social isolation. The priority nursing diagnosis addresses the wife's current state of distress due to social isolation, which can impact her ability to provide care for the client. This diagnosis directly addresses her feelings of being overwhelmed and unable to fulfill her caregiving role effectively. In contrast, option A focuses on family coping, which is secondary to the wife's immediate need for support. Option B is not as relevant since it does not address the wife's emotional and psychological stress. Option D refers to the client's emotional state rather than the wife's, making it less of a priority in this scenario.