ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 4
A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A. Self-injurious behavior in individuals with borderline personality disorder is often a maladaptive coping mechanism used to relieve intense emotional distress or stress. This behavior is a way for the individual to externalize internal pain and gain a sense of control. It is important for the nurse to provide accurate information to the client's sister. Choice B is incorrect because self-injurious behavior in BPD is not typically used to calm or sedate individuals. Choice C is incorrect because self-injury is not usually a mechanism to avoid delusional thinking in BPD. Choice D is incorrect because while mood swings are common in BPD, self-mutilation is not typically used to slow them down.
Question 2 of 4
A nurse is providing an in-service educational program for beginning nurses regarding mental health assessment needs of the older adult. One of the topics addressed is the importance of interviewing family members in addition to the older adult client. The nurse tells the audience that family members are sometimes able to give a more accurate history if the client has memory impairment. The nurse also emphasizes that interviewing family members provides which of the following?
Correct Answer: B
Rationale: The correct answer is B: Evaluation of the family's ability to effectively care for the older client. Rationale: 1. Evaluating the family's ability to care for the older client is crucial as it helps in assessing the overall support system available to the client. 2. Family members' involvement can provide insights into the client's daily care needs, potential challenges, and resources available for caregiving. 3. Understanding the family dynamics and capabilities helps the nurse in developing a comprehensive care plan that considers both the client's needs and the family's capacity to provide care. 4. This choice directly relates to the importance of involving family members in mental health assessment of older adults, highlighting the significance of assessing the caregiving abilities within the family unit. Summary: - A: While interviewing family members may provide information about social support resources, this is not the primary focus when evaluating the family's caregiving abilities. - C: Determining the extent of memory impairment is important but not the primary purpose of involving family
Question 3 of 4
A nurse's friend is considering going into forensic nursing and asks the nurse to explain the connection between mental illness and being convicted of a crime. Which response by the nurse would be most accurate?
Correct Answer: C
Rationale: The correct answer is C because women who are incarcerated are more likely to receive mental health services than men. This is because women in the criminal justice system often have higher rates of mental health issues compared to men. Providing mental health services to incarcerated women can help address underlying issues contributing to their criminal behavior and aid in their rehabilitation. Choice A is incorrect as mentally ill men are actually more likely to be convicted of a crime due to various factors such as lack of access to mental health services, stigma, and social circumstances. Choice B is incorrect as it generalizes without considering various factors affecting the likelihood of conviction for mentally ill women. Choice D is incorrect as it makes a broad statement about African American offenders without considering the individualized mental health needs of each offender.
Question 4 of 4
A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which of the following laboratory values should nurse report to provider?
Correct Answer: A
Rationale: The correct answer is A: WBC 3,000/mm3. A low white blood cell count (WBC) can indicate bone marrow suppression from chemotherapy, leading to increased risk of infection. Reporting this value is crucial for timely intervention. B: Hemoglobin 14 g/dl is within the normal range and not typically a concern in this scenario. C: Platelet count of 250,000/mm3 is within the normal range and does not pose an immediate threat to the client. D: aPTT of 30 seconds is within the normal range and is not directly related to the client's current condition of breast cancer and chemotherapy.