ATI RN
Mental Health ATI Proctored Exam 2024 Questions
Question 1 of 5
Assessment of a client with schizophrenia reveals that he is hearing voices that tell him that people are staring at him and illusions. When developing the plan of care for this client, which nursing diagnosis would be most appropriate?
Correct Answer: C
Rationale: The most appropriate nursing diagnosis for a client with schizophrenia experiencing auditory hallucinations and illusions is "Disturbed sensory perception" (C). This diagnosis reflects the client's altered sensory experiences, such as hearing voices and experiencing illusions. It focuses on the client's perception of reality, which is impaired in this case. Choice A (Disturbed thought processes) is incorrect because it primarily focuses on cognitive processes rather than sensory experiences. Choice B (Risk for self-directed violence) is not the most appropriate because the client's symptoms do not directly indicate a risk of self-harm. Choice D (Ineffective coping) is also not as relevant in this case as the primary issue is related to sensory perception rather than coping mechanisms. Therefore, the correct diagnosis is "Disturbed sensory perception" as it addresses the client's altered sensory experiences.
Question 2 of 5
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
Correct Answer: A
Rationale: The correct answer is A: Risk for Injury. Insomnia and sleep deprivation can lead to cognitive impairment and physical fatigue, increasing the risk of accidents and injuries. The nurse's priority is ensuring the client's safety. Option B, Ineffective Coping, focuses on emotional response rather than immediate safety concerns. Option C, Deficient Knowledge, does not directly address the client's current safety issue. Option D, Anxiety, is important but may not pose an immediate threat to safety compared to the risk of injury from sleep deprivation.
Question 3 of 5
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 4 of 5
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 5 of 5
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.