ATI RN
Mental Health Proctored ATI Questions
Question 1 of 5
Nancy is a nurse. After talking with her mother, she became concerned enough to drive over and check on her. Her mother's appearance is disheveled, words are nonsensical, smells strongly of urine, and there is a stain on her dressing gown. Nancy recognizes that her mother's condition is likely temporary due to:
Correct Answer: C
Rationale: The correct answer is C: A urinary tract infection. Nancy's mother's symptoms such as nonsensical speech, disheveled appearance, strong urine smell, and stain on dressing gown are indicative of a urinary tract infection. UTIs in the elderly can cause confusion, delirium, and incontinence. By recognizing these symptoms, Nancy can suspect a UTI as the cause and seek medical treatment promptly to address the infection. Incorrect choices: A: Early onset dementia - Symptoms of UTI are acute and temporary, not indicative of a chronic condition like dementia. B: A mild cognitive disorder - UTI symptoms are not typically associated with mild cognitive disorders. D: Skipping breakfast - Skipping breakfast does not explain the range of symptoms observed in Nancy's mother.
Question 2 of 5
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Schizoaffective disorder. This is because the client is experiencing both psychotic symptoms (hearing voices, feeling followed) and mood symptoms (major depressive episode). Schizoaffective disorder is characterized by a combination of schizophrenia symptoms and mood disorder symptoms. A: Paranoid schizophrenia is incorrect because the client's symptoms do not solely fit the criteria for paranoid schizophrenia, as there are also depressive symptoms present. B: Undifferentiated schizophrenia is incorrect as the client's symptoms do not fully align with the criteria for schizophrenia and there is a clear mood component present. C: Brief psychotic disorder is incorrect as the client's symptoms have been present for more than the specified duration for this disorder. In summary, the presence of both psychotic and mood symptoms over time points towards the diagnosis of schizoaffective disorder.
Question 3 of 5
Clinical pathways are used in managed care settings to
Correct Answer: D
Rationale: The correct answer is D. Clinical pathways in managed care settings aim to streamline the care process and reduce costs by standardizing care, improving efficiency, and promoting evidence-based practices. This helps in achieving better outcomes and cost-effective care delivery. A, B, and C are incorrect because clinical pathways do not specifically focus on stabilizing aggressive patients, identifying obstacles to care, or relieving nurses of planning responsibilities. These functions may be part of the overall care process but are not the primary purpose of implementing clinical pathways in managed care settings.
Question 4 of 5
Which of the following clients retain the right to give informed consent? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment. Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent. Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent. Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.
Question 5 of 5
Which behavior shows that a nurse values autonomy? The nurse
Correct Answer: C
Rationale: The correct answer is C because discussing options and helping the patient weigh consequences promotes autonomy by involving the patient in decision-making. This empowers the patient to make informed choices about their care. A is incorrect as it limits the patient's autonomy. B restricts the patient's support system. D focuses on setting boundaries rather than promoting autonomous decision-making.