ATI RN
Mental Health ATI Proctored 2023 Questions
Question 1 of 5
Personality disorders often co-occur with mood and eating disorders. A young woman is undergoing treatment at an eating disorders clinic and her nurse suspects the patient may also have a Cluster B personality disorder due to the young woman's:
Correct Answer: B
Rationale: The correct answer is B: Dramatic response to frustration. This is indicative of a Cluster B personality disorder, which includes traits such as emotional instability and impulsivity. People with Cluster B personality disorders often display intense and exaggerated emotional responses to situations like frustration. Choices A, C, and D do not specifically align with the characteristics of Cluster B personality disorders, making them incorrect. A reflects symptoms of an eating disorder, C is related to compulsive behavior, and D describes traits more commonly associated with mood disorders.
Question 2 of 5
A client is diagnosed with generalized anxiety disorder and is prescribed medication therapy. Which agent would the nurse expect to administer to the client to obtain the quickest relief from anxiety symptoms?
Correct Answer: C
Rationale: The correct answer is C: Alprazolam. Alprazolam is a benzodiazepine that works quickly to alleviate anxiety symptoms due to its rapid onset of action. It enhances the effects of GABA, a neurotransmitter that reduces brain activity, providing immediate relief. Buspirone (A) may take weeks to reach full effect. Venlafaxine (B) is an SNRI that also takes time to show efficacy. Imipramine (D) is a tricyclic antidepressant with delayed onset of action and is not typically used as a first-line treatment for anxiety.
Question 3 of 5
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: The correct answer is A: Invincibility fable. This term refers to the belief that one is immune to harm or negative outcomes. The teen's statement reflects this cognitive distortion, common in adolescents. It signifies a sense of invulnerability and underestimation of risks. The other choices are incorrect because B: Formal operations refers to Piaget's cognitive development stage, not relevant here. C: Egocentric thinking is about self-centeredness, not directly related to risk perception. D: Relational aggression involves social manipulation, not present in the teen's statement.
Question 4 of 5
Which determines the scope of practice for a registered nurse employed in a psychiatric inpatient facility?
Correct Answer: B
Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.
Question 5 of 5
A group of nursing students is reviewing the various theories related to the etiology of schizophrenia. The students demonstrate understanding of the information when they identify which neurotransmitter as being responsible for hallucinations and delusions?
Correct Answer: A
Rationale: Step-by-step rationale for why A (Dopamine) is the correct answer: 1. Dopamine hypothesis: Excess dopamine activity is linked to schizophrenia symptoms such as hallucinations and delusions. 2. Studies show antipsychotic drugs targeting dopamine receptors effectively alleviate these symptoms. 3. Dopamine dysregulation theory: Suggests abnormalities in dopamine transmission contribute to schizophrenia. 4. Serotonin, norepinephrine, and GABA are not directly implicated in hallucinations and delusions in schizophrenia.