ATI RN
ATI Mental Health Proctored Exam 2019 70 Questions Questions
Question 1 of 5
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
Correct Answer: D
Rationale: The correct answer is D: Axis IV. Axis IV in DSM-IV is used to assess psychosocial and environmental stressors impacting the individual. Mrs. Green's recent experiences of her dog's death and her mother's cancer diagnosis are significant stressors that would be categorized under Axis IV. These stressors can contribute to her current mental health condition and treatment plan. Choice A (Axis I) refers to clinical disorders, which are not directly related to external stressors. Choice B (Axis II) pertains to personality disorders, which are not the focus here. Choice C (Axis III) involves general medical conditions, which are not the primary concern in this scenario. Hence, the correct choice is D as it specifically addresses the psychosocial stressors impacting Mrs. Green's mental health.
Question 2 of 5
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
Correct Answer: A
Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.
Question 3 of 5
After checking a patient's blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: Correct Answer: C - Usually, you can anticipate that you will begin to react to things more slowly. Rationale: 1. Aging is a natural process that affects everyone. 2. As people age, physiological changes occur, impacting reaction times. 3. Slower reactions are common due to changes in the nervous system. 4. This response is appropriate as it addresses a normal aging change. Summary: A - Incorrect: Overly reassuring, does not acknowledge normal aging changes. B - Incorrect: Personality may remain stable, intelligence does not necessarily lessen. D - Incorrect: Unrealistic, generalized statement about becoming childlike.
Question 4 of 5
A patient was admitted to the psychiatric unit 3 days ago because of suicidal ideation. His suicidal risk has lessened considerably, and he currently denies having any desire to kill himself. In addition, he is able to identify reasons why he wants to be alive. Which nursing intervention would be most appropriate at this time?
Correct Answer: B
Rationale: The correct answer is B: Developing a personal plan for managing suicidal thoughts when they occur. This is the most appropriate intervention at this time because the patient's suicidal risk has lessened considerably and he is able to identify reasons for wanting to live. By creating a personalized plan, the patient can learn coping strategies and techniques to manage suicidal thoughts if they resurface in the future. This empowers the patient to take control of their mental health and provides them with tools to prevent future crises. Incorrect Choices: A: Assigning nursing staff to stay with him during his suicidal crisis - This is not necessary as the patient's suicidal risk has considerably lessened. C: Advising the patient that he should consider electroconvulsive therapy treatments - This is an extreme intervention that is not warranted based on the current improvement in the patient's condition. D: Administering psychotropic drugs that decrease the patient's serotonin levels - This intervention is not appropriate as the patient's current state does not indicate the need for immediate
Question 5 of 5
A client asks the nurse if he needs to alter any of his activities because he is taking lithium carbonate. Which of the following responses would be most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Increase your salt intake if an activity causes you to perspire heavily. Lithium carbonate can cause dehydration and electrolyte imbalances through increased sweating. By increasing salt intake during activities that lead to heavy perspiration, the client can help maintain electrolyte balance. Choice B is incorrect because wearing sunscreen does not directly relate to lithium carbonate use. Choice C is incorrect as drinking less fluid can exacerbate dehydration risks associated with lithium carbonate. Choice D is incorrect as strenuous activities may increase sweating and electrolyte loss, necessitating adjustments such as increasing salt intake.