ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Patients with intellectual disabilities may have difficulty understanding and adhering to dietary restrictions required with MAOIs, increasing the risk of hypertensive crisis. SSRIs and SNRIs (A and C) are generally safer and easier to manage in such patients. Therefore, MAOIs would be the classification of antidepressants that the nurse would question for a patient with a mild intellectual disability.
Question 2 of 5
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor?
Correct Answer: B
Rationale: Rationale for correct answer (B): Hypnosis promotes increased control of pain perception by helping the individual focus on positive suggestions and imagery, reducing the perception of pain during contractions. By using hypnosis, the pregnant individual can learn to manage and cope with labor pain more effectively. Summary of incorrect choices: A: Biofeedback is a separate technique from hypnosis, focusing on monitoring and controlling physiological responses. C: Therapeutic touch is a different nonpharmacological pain management technique that involves the use of touch to promote relaxation, not specifically related to hypnosis. D: While hypnosis can provide guidance and suggestions, its primary focus is on enhancing control over pain perception rather than solely minimizing pain.
Question 3 of 5
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her 'mixed-up feelings' about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it 'makes the numbness stop.' Given this presentation, which personality disorder would you suspect?
Correct Answer: B
Rationale: The correct answer is B: Borderline Personality Disorder. Josie's intense fear of abandonment, unstable self-image, impulsivity, and self-harming behavior are classic symptoms of borderline personality disorder. Her sudden anger when you mention your vacation and her self-harming behavior to cope with emotional distress are indicative of this disorder. A: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness and control, not by self-harm or intense emotional instability like Josie's case. C: Antisocial personality disorder involves a disregard for others' rights and feelings, which does not align with Josie's fear of abandonment and self-harm behavior. D: Schizotypal personality disorder features odd beliefs and behaviors, social isolation, and paranoia, not the impulsive, self-destructive behavior seen in Josie.
Question 4 of 5
A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?
Correct Answer: B
Rationale: The nurse would identify option B as interfering with achievement because addressing overall issues can be overwhelming and vague, making it difficult to measure progress effectively. Stating outcomes in realistic terms (A) is important for setting achievable goals. Indicating small successes (C) allows for incremental progress tracking. Identifying outcomes for specific behaviors (D) helps in defining clear targets for intervention. In summary, option B lacks specificity and may hinder the client's progress by not providing clear direction for goal attainment.
Question 5 of 5
Which nursing intervention would establish trust with a client who is experiencing concrete thinking?
Correct Answer: A
Rationale: The correct answer is A because consistency in adhering to unit guidelines provides a structured environment that can help a client experiencing concrete thinking feel safe and secure. It establishes predictability, which is crucial for building trust. Calling the client by name (B) is a common courtesy but may not directly address the client's concrete thinking. Sharing what the client is feeling (C) may not be effective as the client may have difficulty understanding or processing emotions. Teaching the meaning of idioms (D) is irrelevant to establishing trust with a client experiencing concrete thinking.