ATI RN
ATI Proctored Mental Health 2023 Questions
Question 1 of 5
A nursing student states to the instructor,"I'm afraid of clients with mental illness. They are all violent." Which of the following statements would the instructor use to clarify this perception for the student? Select all that apply.
Correct Answer: B
Rationale: Rationale: 1. Choice B is correct as it addresses the misconception by stating that only a very few clients with mental illness exhibit violent behaviors, helping the student understand that violence is not a common trait among all clients with mental illness. 2. Choice A is incorrect as it perpetuates the misconception by suggesting that most clients with mental illness are violent, even though de-escalation techniques can be used. 3. Choice C is incorrect as it implies that medications are the sole solution to prevent violent behaviors, which is not always the case. 4. Choice D is incorrect as it oversimplifies the issue by suggesting that only paranoid clients exhibit violent behaviors, which is not true for all clients with mental illness.
Question 2 of 5
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
Correct Answer: B
Rationale: The correct answer is B: Assessment. In the Calgary Family Model, the Assessment stage involves identifying and understanding the problems within the family system. This is where the nurse gathers information about the family's strengths, resources, and challenges. The nurse assesses the family's structure, communication patterns, roles, and interactions to develop a comprehensive understanding of the family dynamics. Engaging with the family (Choice A) occurs before the Assessment stage. Intervention (Choice C) comes after the Assessment stage when specific strategies are implemented. Termination (Choice D) is the final stage when the nurse concludes their work with the family.
Question 3 of 5
An older adult is complaining of anxiety is prescribed diazepam (Valium) by a family physician. The physician asks the office nurse to explain the problematic side effects of this medication to the patient. Which instruction would be most important for the nurse to emphasize about this drug?
Correct Answer: D
Rationale: The correct answer is D: "You may feel dizzy and be prone to falls after taking this medication." Rationale: 1. Diazepam (Valium) is a benzodiazepine known to cause dizziness and drowsiness as common side effects. 2. Dizziness can increase the risk of falls, especially in older adults who may already have balance issues. 3. Falls can lead to serious injuries in older adults, making it crucial for the nurse to emphasize this risk. 4. Minor urine incontinence (choice A) is not a common side effect of diazepam. 5. Temporary memory disturbances (choice B) are possible but not as critical as the risk of falls. 6. Dependence (choice C) is a potential issue with benzodiazepines but may not be the most immediate concern in this scenario.
Question 4 of 5
A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days and has unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst. The son says, 'I've never seen him act this way.' Which question would be most appropriate for the nurse to ask next?
Correct Answer: C
Rationale: The correct answer is C: "Has your father suffered any traumatic injury to his brain recently?" This question is most appropriate because sudden changes in behavior, unprovoked anger outbursts, and subsequent remorse could be indicative of a traumatic brain injury (TBI). TBIs can lead to various cognitive and emotional changes. It is crucial to investigate if there has been any recent head trauma that could explain the sudden behavioral changes. Choice A is incorrect because panic disorder typically presents with recurrent panic attacks and not necessarily unprovoked anger outbursts. Choice B is incorrect as it focuses on anger expression issues rather than potential brain injury. Choice D is incorrect as it only pertains to a recent physical injury to the head or neck, which may not necessarily explain the behavioral changes observed.
Question 5 of 5
A patient who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The patient continues to need routine psychiatric services. The nurse anticipates that this patient will most likely be referred to which of the following?
Correct Answer: C
Rationale: The correct answer is C: Intensive outpatient program. This option is most appropriate as the patient still requires ongoing psychiatric services but does not need the level of care provided in a partial hospitalization program. In-home mental health care may not provide the structured support needed. Crisis center in the community is more for immediate intervention, not ongoing care. The intensive outpatient program offers a balance of support and independence for the patient transitioning back to school.