ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 5
A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, 'Get away from me; I can't take your barking right now.' The patient's response reflects a defense mechanism because it was which of the following?
Correct Answer: B
Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale: 1. Automatic response: The patient's reaction to the dog was immediate and instinctive. 2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut. 3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress. 4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut. In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (A), nor implemented to avoid coping with the pay cut (C), or rationalize the pay cut (D).
Question 2 of 5
A nurse is reviewing the medical records of several older adult patients. The nurse determines that which individual would have the least chance of developing mental health problems with aging?
Correct Answer: B
Rationale: The correct answer is B because being married, having a graduate education, eating nutritionally balanced meals, and exercising regularly are all factors associated with better mental health in older adults. Marriage can provide social support, a graduate education indicates cognitive stimulation, balanced nutrition supports brain health, and regular exercise promotes mental well-being. Choice A is incorrect because having a low education level and limited physical activity increase the risk of mental health problems. Choice C is incorrect as consuming mostly fast food can negatively impact brain function. Choice D is incorrect because although watching what she eats is beneficial, the lack of exercise may increase the risk of developing mental health problems.
Question 3 of 5
A nurse is presenting a discussion for a local community group about suicide. Which comment from an audience member indicates the need to clarify the information?
Correct Answer: C
Rationale: The correct answer is C because it presents a misconception. Suicides do not necessarily occur more often during the holiday seasons. The rationale could include statistics showing that suicide rates may actually be lower during certain holidays. This statement may lead to misinformation and a misunderstanding of suicide trends. The other choices are accurate and do not indicate a need for clarification as they reflect common knowledge and understanding regarding suicide warning signs, the seriousness of suicidal talk, and the ambivalence individuals may feel about their decision to live or die.
Question 4 of 5
The nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, I'm just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me. The nurse interprets these statements as indicative of which type of mood?
Correct Answer: C
Rationale: The correct answer is C: Expansive. Expansive mood is characterized by grandiosity, inflated self-esteem, and an exaggerated sense of importance. In this scenario, the client's belief of being extremely beautiful and desirable reflects a grandiose and exaggerated self-perception, which aligns with an expansive mood seen in manic episodes of bipolar disorder. Incorrect choices: A: Irritable - Irritable mood is marked by anger, frustration, and hostility, which are not reflected in the client's statements. B: Elevated - Elevated mood is characterized by increased energy and positivity but does not capture the grandiosity and exaggerated self-importance displayed by the client. D: Euphoric - Euphoric mood is an intense feeling of happiness and excitement, which does not fully encompass the grandiose and inflated self-esteem exhibited by the client.
Question 5 of 5
A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis?
Correct Answer: B
Rationale: The correct answer is B: "I've never really liked myself." This statement supports the diagnosis of an eating disorder because low self-esteem and poor self-image are common underlying factors in individuals with eating disorders. Adolescents with eating disorders often have negative thoughts about themselves which can lead to disordered eating behaviors. Rationale: 1. Choice A is incorrect because mentioning the father's thinness does not directly relate to the adolescent's own feelings or behaviors towards food and body image. 2. Choice C is incorrect because having a lot of confidence in oneself is less likely to be indicative of an eating disorder, as individuals with eating disorders typically have low self-esteem. 3. Choice D is incorrect because feeling close to family members does not directly suggest the presence of an eating disorder; it is more related to relationships rather than the underlying psychological issues associated with eating disorders.