ATI RN
ATI Mental Health Proctored Exam 2023 PDF Questions
Question 1 of 5
Nurse Stefan is caring for a ten-year-old client who has ASD. The client's mother is concerned that her child is not getting all his homework completed and she does not want him to get behind in school. Nurse Stefan educates the client's mother by offering several suggestions. What is the nurse's most appropriate response?
Correct Answer: B
Rationale: The correct answer is B: Creating a quiet study corner in your home will help him to focus. This option is the most appropriate because children with Autism Spectrum Disorder (ASD) often benefit from a quiet and structured environment to focus on tasks. The quiet study corner can minimize distractions and provide a dedicated space for the child to concentrate. Incorrect choices: A: Encouraging the child to get all his work done in one sitting may overwhelm him and lead to frustration, especially for a child with ASD who may need breaks and a structured routine. C: Allowing the TV on in the background can be distracting for a child with ASD who may have sensory sensitivities and struggle to filter out background noise. D: Forcing the child to sit down and complete homework as soon as he gets home may cause stress and resistance, as children with ASD often benefit from predictable routines and gradual transitions.
Question 2 of 5
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories?
Correct Answer: C
Rationale: The correct answer is C: Depression. Clients with anorexia nervosa often experience co-morbid conditions like depression due to the psychological and emotional impact of the disorder. Depression can exacerbate anorexic behaviors and hinder recovery. Paranoia (A), primary insomnia (B), and aggression (D) are not typically associated with anorexia nervosa. Paranoia is more commonly linked to conditions like schizophrenia, primary insomnia is a sleep disorder, and aggression may occur in various psychiatric disorders but is not a hallmark of anorexia nervosa.
Question 3 of 5
The school nurse has been alerted to the fact that an 8-year-old boy routinely playacts as a police officer 'locking up' other children on the playground to the point where the children get scared. The nurse recognizes that this behavior is most likely an indication of:
Correct Answer: D
Rationale: The correct answer is D: A potential symptom of traumatization. This behavior of playacting as a police officer and causing fear in other children can be a red flag for trauma. Trauma can manifest in various ways in children, including through aggressive or controlling behaviors. The boy may be reenacting a traumatic event he witnessed or experienced, using the role of a police officer to process his feelings of powerlessness or fear. It is important for the nurse to consider the possibility of trauma and address it appropriately. Choices A, B, and C are incorrect because they do not directly address the concerning behavior displayed by the child. The behavior is not simply about the need to dominate others, inventing traumatic events, or developing close relationships. Instead, it suggests deeper psychological distress that requires a trauma-informed approach for intervention.
Question 4 of 5
Nurse Stefan is caring for a ten-year-old client who has ASD. The client's mother is concerned that her child is not getting all his homework completed and she does not want him to get behind in school. Nurse Stefan educates the client's mother by offering several suggestions. What is the nurse's most appropriate response?
Correct Answer: B
Rationale: The correct answer is B: Creating a quiet study corner in your home will help him to focus. This option is the most appropriate because children with Autism Spectrum Disorder (ASD) often benefit from a quiet and structured environment to focus on tasks. The quiet study corner can minimize distractions and provide a dedicated space for the child to concentrate. Incorrect choices: A: Encouraging the child to get all his work done in one sitting may overwhelm him and lead to frustration, especially for a child with ASD who may need breaks and a structured routine. C: Allowing the TV on in the background can be distracting for a child with ASD who may have sensory sensitivities and struggle to filter out background noise. D: Forcing the child to sit down and complete homework as soon as he gets home may cause stress and resistance, as children with ASD often benefit from predictable routines and gradual transitions.
Question 5 of 5
What therapy environment permits the nurse to assess the client while they are exposed to different relationships and behaviors?
Correct Answer: A
Rationale: Milieu therapy is the correct answer as it involves creating a therapeutic environment where clients interact with others, allowing nurses to observe their behaviors and relationships. This setting offers a holistic approach to assessment, considering how clients engage in various interactions. Electrical impulse therapy (B) is not focused on observing relationships and behaviors. Talk therapy (C) and individual therapy (D) primarily involve one-on-one interactions, limiting the nurse's ability to assess clients in diverse relationship contexts. Milieu therapy stands out for its comprehensive assessment opportunities within a dynamic social environment.