ATI RN
ATI Mental Health Proctored Exam 2019 Quizlet Questions
Question 1 of 5
Select the best response for the nurse to a question from another health professional regarding the difference between a diagnosis in DSM-V and a nursing diagnosis.
Correct Answer: D
Rationale: The correct answer is D because it accurately distinguishes between a diagnosis in DSM-V and a nursing diagnosis. A DSM-V diagnosis typically focuses on identifying mental health disorders and guiding medical treatments. On the other hand, a nursing diagnosis is more holistic, focusing on patient issues and providing a framework for interventions. This answer is correct as it highlights the primary functions of each type of diagnosis. Choice A is incorrect because there are clear distinctions between the two types of diagnoses in terms of their focus and purpose. Choice B is incorrect because nursing diagnoses do consider cultural factors. Choice C is incorrect as nursing diagnoses do explore underlying causes and contributing factors.
Question 2 of 5
A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter. In which room should the nurse place the patient?
Correct Answer: A
Rationale: The correct answer is A: An interview room furnished with a desk and two chairs. This room provides a private and comfortable setting for the patient to express their feelings and concerns openly. The desk and chairs facilitate a structured conversation between the patient and healthcare provider. Choice B is incorrect because a small, empty storage room is not conducive to providing appropriate care for a patient experiencing disorganized behavior and incoherence. It lacks the necessary environment for effective communication and support. Choice C is incorrect as a room with an examining table and instrument cabinets may make the patient feel uncomfortable or anxious, potentially exacerbating their symptoms. It is more suitable for physical examinations rather than mental health assessments. Choice D is incorrect because placing the patient in the nurse's office may not provide the necessary privacy and professional boundaries required for a therapeutic interaction. It lacks the neutrality and confidentiality needed for the patient to feel safe and supported.
Question 3 of 5
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Incidence. Incidence refers to the number of new cases of a disease within a specified time period, such as the past year in this scenario. It specifically focuses on newly diagnosed individuals, which aligns with the nursing student's interpretation. Rationale: 1. Incidence measures new cases over a specific period. 2. It helps in understanding the risk of developing a condition. 3. Prevalence (B) refers to all existing cases at a specific time. 4. Rate (A) is a general term for any measure of occurrence. 5. Point prevalence (C) is the number of cases at a specific point in time. In summary, the other choices are incorrect because they do not specifically capture the concept of new cases within a defined timeframe, which is central to the concept of incidence.
Question 4 of 5
A patient is a successful insurance salesman; however, because of market changes, his level of sales has dropped. His boss tells him he will consequently be receiving a $2,000 per year cut in his salary. When the patient arrives home from work, the family dog runs to greet him as he always does, barking and jumping up and down and begging for attention. The patient yells at the dog, 'Get away from me; I can't take your barking right now.' The patient's response reflects a defense mechanism because it was which of the following?
Correct Answer: B
Rationale: The correct answer is B. The patient's response of yelling at the dog is an example of a defense mechanism. Here's a step-by-step rationale: 1. Automatic response: The patient's reaction to the dog was immediate and instinctive. 2. Protecting from anxiety: Yelling at the dog allowed the patient to release some of the anxiety and frustration caused by the pay cut. 3. Unconscious protection: The patient may not be fully aware that his behavior towards the dog is a defense mechanism to cope with the stress. 4. Coping mechanism: By displacing his anger onto the dog, the patient avoids directly confronting his feelings about the pay cut. In summary, the other choices are incorrect because the patient's behavior was not intentionally meant to address the dog's behavior (A), nor implemented to avoid coping with the pay cut (C), or rationalize the pay cut (D).
Question 5 of 5
The nurse is preparing to form a group in an inpatient psychiatric setting for patients who have experienced trauma. In addition to the group leader, the nurse would anticipate including how many patients?
Correct Answer: C
Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process. Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.