ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
A nurse working in an emergency homeless shelter is interviewing a woman who has just arrived with her two small children. When assessing this client, the nurse would expect the woman to report which of the following as the reason for seeking shelter?
Correct Answer: B
Rationale: The correct answer is B: Domestic violence. In a situation where a woman arrives at an emergency homeless shelter with her children, domestic violence is the most likely reason for seeking shelter. Victims of domestic violence often flee their homes to escape abuse, seeking safety and shelter for themselves and their children. Substance abuse (A), unemployment (C), and imprisonment (D) are possible contributing factors to homelessness but are less likely to be the immediate reason for seeking emergency shelter in this scenario.
Question 2 of 5
Nurses caring for a client with congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate?
Correct Answer: C
Rationale: Rationale: Choice C, giving the client enalapril 2.5 mg PO twice daily, is the correct answer as it is a common prescription for managing congestive heart failure by reducing workload on the heart. Enalapril is an ACE inhibitor that helps decrease blood pressure and improve heart function. It is crucial in managing symptoms and improving outcomes for clients with congestive heart failure. Choices A, B, and D are incorrect because they do not address the underlying issue of heart failure or follow evidence-based guidelines for treatment. Monitoring respiratory rate, giving IV bolus, or monitoring pulse rate are important but do not directly address the management of congestive heart failure as effectively as prescribing enalapril.
Question 3 of 5
Which goal should be addressed initially when providing care for 10-year-old Harper who is diagnosed with posttraumatic stress disorder (PTSD)?
Correct Answer: B
Rationale: The correct answer is B because ensuring access to protective resources through social services is crucial in providing immediate support and safety for Harper. This initial goal focuses on addressing any immediate risks or needs related to her PTSD diagnosis. Play therapy (A) may be beneficial later but is not the primary concern at this stage. Teaching relaxation techniques (C) and understanding human response to trauma (D) are important but not as urgent as ensuring access to protective resources.
Question 4 of 5
The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?
Correct Answer: C
Rationale: The correct answer is C: Ask the patient, 'Do you have any plan to hurt yourself or anyone else?' This is the initial intervention because it assesses the patient's risk of harm. It is crucial to determine if the patient has any suicidal ideation or intent. This question helps gauge the level of risk and informs the appropriate level of intervention. Explanation for why the other choices are incorrect: A: Advising the patient about available services is important but not the initial step when assessing immediate risk. B: Asking about past experiences with depression is not as critical as assessing the current risk of harm. D: Assuring the patient of safety is important, but directly addressing the possibility of harm is more urgent in crisis intervention.
Question 5 of 5
What is an empathic response for the nurse to give to a client who recently lost their mother to a diagnosis of breast cancer?
Correct Answer: D
Rationale: The correct answer is D because it shows empathy and acknowledges the client's emotions. It validates the client's feelings without minimizing their pain. Option A is dismissive and implies the client should be relieved. Option B is insensitive and lacks empathy. Option C is premature and focuses on logistics rather than emotional support.