ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
After teaching a group of students about appraisal and the stress response, the instructor determines that additional teaching is needed when the students identify which of the following as part of the primary appraisal?
Correct Answer: D
Rationale: The correct answer is D because outcome explanation is not part of primary appraisal. Primary appraisal involves evaluating the significance of an event in relation to one's well-being, focusing on factors such as relevance of the goal, consistency of goal with values, and personal commitment. Outcome explanation, on the other hand, is more related to secondary appraisal where one assesses potential coping strategies and their outcomes. Therefore, outcome explanation does not directly contribute to the initial evaluation of the event's impact on well-being, making it an inaccurate choice for primary appraisal.
Question 2 of 5
After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include?
Correct Answer: C
Rationale: The correct answer is C: Turning up the music loud. This strategy would be least likely to be included because it does not directly address the escalation of violent behavior. Counting to 10 and taking slow deep breaths are both commonly used techniques to help manage anger and prevent escalation. Taking a voluntary time out is also effective in creating a safe space to de-escalate. Turning up the music loud may serve as a distraction, but it does not actively address the underlying issues or help the patient stay in control of their emotions.
Question 3 of 5
Which activity is most appropriate for a child with ADHD?
Correct Answer: D
Rationale: The correct answer is D: Tennis. Physical activities like tennis are beneficial for children with ADHD as they help release excess energy and improve focus. Tennis involves physical movement, coordination, and strategy, which can enhance concentration and self-regulation skills. Reading an adventure novel (A) may be too sedentary for a child with ADHD, limiting their ability to focus. Monopoly (B) and Checkers (C) are good for cognitive development but may not provide enough physical activity to help manage ADHD symptoms effectively. Tennis, on the other hand, offers a combination of physical exercise and mental engagement, making it the most appropriate choice for a child with ADHD.
Question 4 of 5
Family members describe the patient as 'a difficult person who finds fault with others.' The patient verbally abuses nurses for their poor care. The most likely explanation lies in
Correct Answer: C
Rationale: The correct answer is C: a personality style that externalizes problems. This is likely the most accurate explanation because the patient's behavior of finding fault with others and verbally abusing nurses suggests a tendency to blame external factors for their own problems, rather than taking responsibility. This is characteristic of a personality style that externalizes problems, where individuals attribute their issues to others or external circumstances. Poor childrearing (choice A) may contribute, but it doesn't directly address the behavior described. Automatic thinking and cognitive distortions (choice B) are related to cognitive processes, not personality styles. Delusions of harm (choice D) are not mentioned in the scenario.
Question 5 of 5
A nurse is caring for a 76-year-old patient with a hearing deficit caused by presbycusis. Which of the following would be most appropriate for the nurse to do when communicating with the patient?
Correct Answer: D
Rationale: The correct answer is D: Use lower pitched tones. Presbycusis causes difficulty in hearing high-frequency sounds, so using lower pitched tones can help the patient hear better. Higher volume (choice A) may distort the sound and not necessarily improve understanding. Addressing family members (choice B) does not directly address the patient's hearing deficit. Asking about sign language (choice C) assumes the patient knows sign language, which may not be the case. Thus, using lower pitched tones is the most appropriate approach for effective communication with a patient with presbycusis.