ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 9
A student nurse is trying to remember the five different types of communication disorders. They know that unspecified means that it does not fit into a specific DSM-5 diagnosis classification but cannot remember the possible causes. How can the instructor explain it?
Correct Answer: D
Rationale: The correct answer is D because communication disorders labeled as unspecified can have various causes, including genetic predisposition, environmental factors, and physical conditions. Genetic factors play a role in some communication disorders, but they are not the sole cause. Traumatic brain injury, as mentioned in choice B, is a specific cause and not applicable to unspecified disorders. Choice C is incorrect as all disorders have underlying causes, even if they are not fully understood. Choice A is also incorrect as it oversimplifies the causes of unspecified communication disorders. In summary, choice D is the most comprehensive and accurate explanation as it considers the multifactorial nature of communication disorders.
Question 2 of 9
A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?
Correct Answer: D
Rationale: The correct answer is D: Stabilize the client's physical health status. This should be done first because addressing immediate physical health needs is crucial for the client's well-being. Without stable physical health, the client may not be able to engage effectively in accessing benefits or finding safe facilities. Referring to social services (A) and discussing privacy (C) are important but secondary to addressing physical health. Providing a list of safe facilities (B) is also important but not as critical as stabilizing the client's health. By addressing physical health first, the nurse can ensure the client is in a better position to address other needs effectively.
Question 3 of 9
The DSM-V classifies:
Correct Answer: D
Rationale: The correct answer is D because the DSM-V classifies mental disorders that individuals have. The DSM-V is a diagnostic manual used by mental health professionals to categorize and classify mental disorders based on specific criteria. It focuses on identifying patterns of symptoms and behavior that indicate the presence of a mental disorder. Choices A, B, and C are incorrect because the DSM-V does not solely focus on deviant behaviors, present disability or distress, or people with mental disorders in general, but specifically on identifying and classifying mental disorders that individuals may have based on established criteria.
Question 4 of 9
A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?
Correct Answer: D
Rationale: Rationale: - The correct answer is D because monitoring weight changes is crucial in the early stages of SSRI treatment, as weight gain could be a side effect. - A is incorrect because SSRIs do not typically affect fluid intake. - B is incorrect because abruptly stopping an SSRI can lead to withdrawal symptoms and should only be done under medical guidance. - C is incorrect as menstrual irregularities are not a common side effect of SSRIs. Summary: Monitoring weight changes is essential when taking SSRIs to address potential side effects. Other choices are incorrect as they do not align with the usual considerations for SSRI treatment.
Question 5 of 9
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
Correct Answer: D
Rationale: The correct answer is D because hearing evil voices indicating potential psychosis or severe mental health issues requiring immediate attention. This statement suggests possible hallucinations and command hallucinations that pose a risk to the individual and others. It should be the priority focus for the plan of care. A: Trusting family is important but does not indicate immediate safety concern. B: Perception of bad luck may be relevant but not as urgent as potential hallucinations. C: Concern about betrayal is significant but does not pose an immediate risk compared to hearing evil voices.
Question 6 of 9
What therapy is used to adapt one's perceptions about life situations?
Correct Answer: C
Rationale: The correct answer is C: cognitive behavioral therapy. This therapy focuses on changing negative thought patterns and behaviors to improve one's perceptions about life situations. It helps individuals identify and challenge irrational beliefs, leading to more positive emotions and behaviors. Milieu therapy (A) focuses on creating a therapeutic environment, not specifically on changing perceptions. Psychoanalysis (B) delves into unconscious conflicts, not necessarily focused on changing perceptions directly. Reality therapy (D) is more about personal responsibility and choices, rather than altering perceptions through cognitive restructuring.
Question 7 of 9
A student nurse is trying to remember the five different types of communication disorders. They know that unspecified means that it does not fit into a specific DSM-5 diagnosis classification but cannot remember the possible causes. How can the instructor explain it?
Correct Answer: D
Rationale: The correct answer is D because communication disorders labeled as unspecified can have various causes, including genetic predisposition, environmental factors, and physical conditions. Genetic factors play a role in some communication disorders, but they are not the sole cause. Traumatic brain injury, as mentioned in choice B, is a specific cause and not applicable to unspecified disorders. Choice C is incorrect as all disorders have underlying causes, even if they are not fully understood. Choice A is also incorrect as it oversimplifies the causes of unspecified communication disorders. In summary, choice D is the most comprehensive and accurate explanation as it considers the multifactorial nature of communication disorders.
Question 8 of 9
A nurse is preparing to assess a 9-year-old child who has been sexually abused. Which of the following would be the priority for the nurse?
Correct Answer: D
Rationale: The correct answer is D because ensuring a safe and supportive environment is the priority in assessing a sexually abused child. Safety and comfort are crucial for the child to feel secure and open up about their experience. This approach helps build trust and rapport, leading to a more effective assessment and support. A: Finding out when the abuse occurred is important but not the immediate priority. B: Documenting for court is necessary but not the first step in caring for the child's well-being. C: Using anatomically correct dolls can be helpful in some cases, but it should not be the priority over ensuring the child's safety and well-being.
Question 9 of 9
The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.