ATI RN
ATI Mental Health Proctored Exam 2024 Quizlet Questions
Question 1 of 5
A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, 'I've always wondered what is happening in my body when I become sexually aroused.' The nurse would incorporate an understanding of which of the following as the control mechanism?
Correct Answer: C
Rationale: The correct answer is C: Parasympathetic nervous system. When a person becomes sexually aroused, the parasympathetic nervous system is responsible for promoting relaxation and increasing blood flow to the genital area, facilitating arousal. This physiological response is a part of the body's control mechanism for sexual arousal. The sympathetic nervous system (choice A) is responsible for the fight or flight response and not directly involved in sexual arousal control. The endocrine system (choice B) regulates hormone production but is not the primary control mechanism for sexual arousal. The central nervous system (choice D) includes the brain and spinal cord but is not the specific control mechanism for sexual arousal.
Question 2 of 5
When obtaining a client's history, the nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in his ability to function on a daily basis at work. He also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizophreniform disorder. This disorder is characterized by symptoms similar to schizophrenia but lasting between 1 to 6 months. In this case, the client has been experiencing delusions, hallucinations, catatonic excitement, echopraxia, loose associations, and pressured speech for the past 3 months. This aligns with the timeframe and symptomatology of schizophreniform disorder. A: Schizophrenia is a long-term mental disorder lasting for at least 6 months. The client's symptoms have been present for only 3 months, making schizophrenia less likely. B: Schizoaffective disorder involves both psychotic symptoms and mood disturbances. There is no mention of mood disturbances in the client's presentation, making this choice less likely. C: Brief Psychotic disorder involves sudden onset of psychotic symptoms lasting less than 1 month. The client's symptoms have been present for 3 months, ruling out this diagnosis. In summary, the client's presentation of symptoms
Question 3 of 5
A group of nursing students is reviewing information about delirium and dementia. The students demonstrate a need for additional review when they identify which of the following as characteristics of dementia?
Correct Answer: A
Rationale: The correct answer is A because fluctuating changes within a 24-hour period are characteristic of delirium, not dementia. In dementia, cognitive impairment is typically stable and progressive. Choice B is incorrect because hallucinations can occur in dementia. Choice C is incorrect because psychomotor activity may be affected in dementia. Choice D is correct as globally impaired cognition is a hallmark of dementia. In summary, A is incorrect as it is a characteristic of delirium, while B, C, and D are all characteristics of dementia.
Question 4 of 5
Gilbert, age 19, is described by his parents as a 'moody child' with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
Correct Answer: D
Rationale: The correct answer is D: To have a less positive outcome. Gilbert's symptoms, including academic decline, social withdrawal, and fixation on locks, are indicative of schizophrenia. Given his early onset and gradual progression, his prognosis is less favorable. Schizophrenia is a chronic and severe mental disorder that can lead to significant impairments in daily functioning. While medication and psychosocial interventions can help manage symptoms, the course of schizophrenia is often characterized by relapses and remissions, making the overall outcome less positive. Therefore, option D is the most suitable choice based on Gilbert's presentation.
Question 5 of 5
A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?
Correct Answer: C
Rationale: The correct answer is C: Avoidant personality disorder. Schizoid personality disorder is characterized by a lack of interest in social relationships, emotional coldness, and detachment. Individuals with schizoid personality traits often also exhibit symptoms of avoidant personality disorder, which involves feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of social interactions. This comorbidity is common because both disorders share similarities in their core features of social withdrawal and isolation. Depression (A), substance abuse (B), and anxiety (D) are not typically identified as the most common comorbid disorders with schizoid personality traits.