ATI RN
ATI Mental Health Proctored Exam 2023 PDF Questions
Question 1 of 5
A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual's ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following?
Correct Answer: C
Rationale: 1. Resilience refers to the individual's ability to adapt positively to stress, trauma, or adversity. 2. In the context of mental health, resilience is a protective factor against mental illness in older adults. 3. Functional status (A) refers to the ability to perform activities of daily living and is not related to resilience. 4. Gerotranscendence (B) is a theory about the developmental stages of aging, not directly related to adaptation to stress. 5. Empty nest (D) refers to the stage in a parent's life when children have grown up and left home, not related to resilience.
Question 2 of 5
A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual's ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following?
Correct Answer: C
Rationale: 1. Resilience refers to the individual's ability to adapt positively to stress, trauma, or adversity. 2. In the context of mental health, resilience is a protective factor against mental illness in older adults. 3. Functional status (A) refers to the ability to perform activities of daily living and is not related to resilience. 4. Gerotranscendence (B) is a theory about the developmental stages of aging, not directly related to adaptation to stress. 5. Empty nest (D) refers to the stage in a parent's life when children have grown up and left home, not related to resilience.
Question 3 of 5
A parent says, "My 2-year-old child refuses toilet training and shouts „No!‟ when given directions. What do you think is wrong?" Select the nurse's best reply.
Correct Answer: B
Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often assert their independence by resisting authority, which includes refusing toilet training and saying "No." 2. This behavior is typical for toddlers and part of their normal developmental stage. 3. Pressuring the child or imposing firmer control may lead to power struggles and negative outcomes. 4. Recognizing and understanding the child's need for autonomy is crucial in responding effectively to their behavior. Other choices are incorrect: A: "Your child needs firmer control. It is important to set limits now." - This approach may lead to power struggles and may not address the underlying developmental stage the child is going through. C: "There may be developmental problems. Most children are toilet trained by age 2." - Making assumptions about developmental problems based on a single behavior is premature and may cause unnecessary concern for the parent. D: "Some undesirable
Question 4 of 5
Which entry in the medical record best meets the requirement for problem-oriented charting?
Correct Answer: B
Rationale: The correct answer is B because it follows the SOAP (Subjective, Objective, Assessment, Plan) format for problem-oriented charting. In choice B, the subjective information is the patient's statement, the objective information includes the observed behavior, assessment is the diagnosis of auditory hallucinations, and the plan includes offering medication and the outcome. Choice A lacks a clear assessment and plan, focusing more on the intervention and outcome. Choice C does not clearly link the assessment to the plan and lacks details in the subjective and objective sections. Choice D does not provide a clear separation between subjective and objective information and lacks a formal assessment section.
Question 5 of 5
On a substance abuse unit, a client diagnosed with cirrhosis of the liver tells the nurse,"I really don't believe that drinking a couple of cocktails every night has anything to do with my liver problems." Which is the best nursing response?
Correct Answer: A
Rationale: The correct answer is A. This response uses therapeutic communication by reflecting the client's statement back to them. By doing so, the nurse acknowledges the client's perspective without being confrontational. It opens the door for further discussion and exploration of the client's beliefs around alcohol and liver damage. This approach helps build rapport and trust with the client, allowing for a more effective therapeutic relationship. Choices B, C, and D are incorrect because they do not address the client's denial or beliefs directly. Choice B focuses on gathering more information about the client's drinking habits without addressing the client's statement. Choice C asks for an explanation without validating the client's feelings. Choice D is a general statement that may come across as judgmental and does not address the client's specific belief.