ATI RN
ATI Mental Health Proctored Exam 2024 Questions
Question 1 of 5
A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and a desire to understand the patient's feelings. By addressing the patient by name and expressing a willingness to talk about their emotions, the nurse is acknowledging the patient's distress and showing a therapeutic approach. This can help de-escalate the situation and establish a trusting relationship. Option A is incorrect because it does not show empathy or offer support. Option B is inappropriate as it is demanding and may escalate the situation further. Option D is also incorrect as it is directive and does not address the patient's emotional state. Overall, option C is the best choice as it focuses on building rapport and understanding the patient's perspective.
Question 2 of 5
A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and a desire to understand the patient's feelings. By addressing the patient by name and expressing a willingness to talk about their emotions, the nurse is acknowledging the patient's distress and showing a therapeutic approach. This can help de-escalate the situation and establish a trusting relationship. Option A is incorrect because it does not show empathy or offer support. Option B is inappropriate as it is demanding and may escalate the situation further. Option D is also incorrect as it is directive and does not address the patient's emotional state. Overall, option C is the best choice as it focuses on building rapport and understanding the patient's perspective.
Question 3 of 5
A nurse is providing care to a client just recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently as well as carrying cans of soda and bottles of water with him wherever he goes. Upon entering the client's room, the nurse sees numerous empty cups that had been filled with fluids on his table and in the trash can. The room has an odor of urine. The nurse suspects which of the following?
Correct Answer: B
Rationale: The correct answer is B: Disordered water balance. The client's excessive fluid intake, frequent use of the water fountain, carrying cans of soda and bottles of water, and presence of numerous empty cups suggest polydipsia, a common symptom in schizophrenia due to disordered water balance. This can lead to dilutional hyponatremia and subsequent urinary incontinence, explaining the odor of urine in the room. A: Diabetes mellitus is unlikely as there are no symptoms of hyperglycemia mentioned. C: Tardive dyskinesia is a movement disorder associated with long-term antipsychotic use, not related to excessive fluid intake. D: Orthostatic hypotension is characterized by a drop in blood pressure upon standing, not related to the client's symptoms. In summary, the client's behavior and symptoms point towards disordered water balance, specifically polydipsia, as the likely cause.
Question 4 of 5
The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?
Correct Answer: A
Rationale: The correct answer is A: Gabapentin. Gabapentin is a medication commonly used to treat neuropathic pain, which is often associated with chronic pain in older patients. It is considered a safer alternative to opioids due to its lower risk of addiction and overdose. Acetaminophen (B) is an over-the-counter pain reliever but may not be sufficient for chronic pain. Morphine (C) and Fentanyl (D) are opioids, which have a higher risk of side effects, addiction, and overdose compared to Gabapentin. Therefore, Gabapentin is the most suitable choice for managing chronic pain in older patients.
Question 5 of 5
A nurse presents a community education program about mental illness. Which comment by a participant best demonstrates a correct understanding of mental illness from a biological perspective?
Correct Answer: C
Rationale: The correct answer is C. This response demonstrates understanding of mental illness as a biological condition by acknowledging that it is not the individual's fault. Bipolar disorder is known to have a strong genetic component and is influenced by neurobiological factors. This statement indicates recognition that mental illnesses are not simply a result of personal weakness or character flaws. It also implies an understanding of the complexity and chronic nature of mental disorders. Choices A, B, and D focus on environmental factors, family dynamics, and developmental issues, respectively, which do not directly align with the biological perspective of mental illness.