ATI RN
2023 ATI Mental Health Proctored Exam Questions
Question 1 of 5
Malika has been overweight all of her life. Now an adult, she has health problems related to her excessive weight. Seeking weight loss assistance at a primary care facility Malika is surprised when the nurse practitioner suggests:
Correct Answer: A
Rationale: Rationale: The correct answer is A. Malika's weight issues may be linked to emotional factors, such as depression or anxiety. SSRIs can help address these underlying emotional issues, leading to better adherence to weight loss interventions. Exercise alone may not address the root cause. Removing snack foods may help with weight loss but doesn't address emotional factors. Medication for hypertension only treats a symptom, not the underlying cause of weight gain.
Question 2 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.
Question 3 of 5
A client who has been diagnosed with panic disorder visits the clinic and experiences a panic attack. The client tells the nurse, I'm so nervous. My hands are shaking, and I'm sweating. I feel as if I'm having a stroke right now. Which of the following would the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Stay with the client while remaining calm. Rationale: 1. Presence and calmness provide reassurance and support during a panic attack. 2. Staying with the client helps prevent further distress or harm. 3. The nurse can assess the client's condition and provide immediate assistance if needed. 4. It establishes trust and a therapeutic relationship. Summary: B: Moving the client to a safe environment is important, but staying with the client is the priority for immediate support. C: Telling the client the attack will soon pass may not be effective during the acute phase of panic. D: Teaching deep breathing techniques can be helpful, but it is not the first step in managing a client experiencing a panic attack.
Question 4 of 5
A parent is worried about their adolescent who has been having angry outbursts for three weeks. The parent reaches out to the pediatrician's office asking about multisystemic treatment. How can the nurse explain it?
Correct Answer: C
Rationale: The correct answer is C: a combination of behavior therapy training that includes the child, the family, and the school. This is the most appropriate response because multisystemic treatment is a comprehensive approach involving various aspects of the adolescent's life. It targets behavior through therapy and involves not only the child but also the family and school to address underlying issues and promote positive change. Incorrect options: A: Immediate assessment for oppositional defiant disorder - This option focuses solely on a diagnosis and does not address the holistic approach of multisystemic treatment. B: Very upsetting, but just typical for teenagers - This option dismisses the seriousness of the situation and does not provide a constructive solution. D: A course of prescription medication - This option suggests a medical intervention, which is not typically the first-line approach for managing behavioral issues in adolescents.
Question 5 of 5
A nurse prepares to assess a new patient who moved to the United States from Central America 3 years ago. After introductions, what is the nurse's next comment?
Correct Answer: D
Rationale: The correct next comment for the nurse is D: "Are you comfortable conversing in English, or would you prefer to have a translator present?" This is the best choice because it directly addresses the patient's language preference and ensures effective communication. By asking this question, the nurse demonstrates cultural sensitivity and respect for the patient's linguistic needs. It also shows a willingness to accommodate the patient's communication preferences, promoting trust and understanding in the healthcare setting. Choice A is incorrect as it focuses on the patient's journey to the U.S., which is unrelated to the immediate healthcare assessment. Choice B assumes the patient needs help from a family member without first assessing the patient's language proficiency. Choice C, while offering an interpreter, does not directly inquire about the patient's language preference, potentially overlooking the patient's comfort level with English.