ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
A nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fever. This is the highest priority for the client to report because fever can indicate a serious side effect called agranulocytosis, a potentially life-threatening condition associated with clozapine therapy. Agranulocytosis can lead to severe infections due to low white blood cell count. It is crucial to monitor for fever as an early sign of this condition to prevent complications. A: Constipation - While constipation can be a side effect of clozapine, it is not as urgent as fever in this context. B: Blurred vision - Blurred vision is a common side effect of clozapine but is not typically considered a medical emergency. D: Dry mouth - Dry mouth is a common side effect of many medications, including clozapine, and is not as concerning as fever in this scenario.
Question 2 of 5
A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind?
Correct Answer: B
Rationale: The correct answer is B: The client's experience of pain is real. In complex somatic symptom disorder, physical symptoms are real to the client even if there is no clear medical explanation. It is crucial for the nurse to validate the client's experience of pain to establish trust and promote therapeutic alliance. This approach can help address the underlying psychological factors contributing to the pain. Incorrect choices: A: Opioid analgesics are not always the primary mode of therapy for somatic symptom disorder as they may not address the underlying psychological factors contributing to the pain. C: Complementary therapies can be beneficial in managing pain and promoting overall well-being in clients with somatic symptom disorder. D: Outcomes need to consider not only the biologic aspects but also the psychosocial and environmental factors influencing the client's pain experience.
Question 3 of 5
Tommy, a 12-year-old boy admitted to the pediatric psychiatric unit, has recently been diagnosed with conduct disorder. In the activity room, the games he wanted to play were already in use. He responded by threatening to throw furniture and to hurt his peers who had the game he wanted. Nancy, a registered nurse, recognizes that Tommy's therapy must include:
Correct Answer: A
Rationale: The correct answer is A: Consistency in implementing the consequences of breaking rules. This is essential in managing conduct disorder as it helps establish clear boundaries and expectations for behavior. By consistently applying consequences when rules are broken, Tommy will learn that his actions have repercussions, promoting accountability and potentially reducing future outbursts. Choice B is incorrect because while empathy is important in understanding Tommy's emotions, it alone is not sufficient to address the underlying behavior. Choice C is incorrect as simply teaching the benefits of socializing does not directly address Tommy's behavior and the root causes of his conduct disorder. Choice D is incorrect as solitary time may not effectively address the need for structure, consequences, and social skill development that Tommy requires in his therapy.
Question 4 of 5
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
Correct Answer: B
Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.
Question 5 of 5
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Invincibility fable. This term refers to the belief that one is immune to harm or negative outcomes. The teen's statement reflects this cognitive distortion, common in adolescents. It signifies a sense of invulnerability and underestimation of risks. The other choices are incorrect because B: Formal operations refers to Piaget's cognitive development stage, not relevant here. C: Egocentric thinking is about self-centeredness, not directly related to risk perception. D: Relational aggression involves social manipulation, not present in the teen's statement.