ATI RN
Mental Health ATI Proctored Exam Questions
Question 1 of 5
Some cultures have lower rates of diagnosed conduct disorders than observed in Western societies. The lower rate of incidence may be contributed to:
Correct Answer: C
Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder. Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders. Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.
Question 2 of 5
As part of a client's treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: D
Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.
Question 3 of 5
The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is
Correct Answer: C
Rationale: The correct answer is C: incongruous. The patient's verbal statement about the marriage being great contradicts the nonverbal behavior of foot movement and button twirling, indicating incongruity between the verbal and nonverbal communication. This inconsistency suggests that the patient may not be entirely truthful or may be experiencing internal conflict. A: Clear - This choice is incorrect because the patient's communication is not clear due to the conflicting verbal and nonverbal cues. B: Distorted - This choice is incorrect as there is no indication of intentional distortion in the patient's communication. D: Inadequate - This choice is incorrect as inadequate communication refers to a lack of information or detail, which is not evident in this scenario.
Question 4 of 5
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Altering routines may disrupt stability and increase anxiety for children. 2. Children benefit from consistency post-divorce to provide a sense of security. 3. Acknowledging children are not to blame is crucial for their emotional well-being. 4. Developing a regular visitation schedule fosters predictability and comfort. 5. Consistent limits help establish boundaries and structure for children. Therefore, statement A indicates a need for additional teaching as it could potentially harm the children's emotional well-being by disrupting their routines.
Question 5 of 5
As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse discusses the client's risk for delirium with his family members. Which of the following would the nurse NOT include as placing the client at increased risk?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. Hypertension is not a risk factor for delirium in the context of a follow-up home visit after surgery. Delirium is commonly associated with factors such as urinary tract infections (A), acute stress (C), and bone fractures (D) in elderly clients. Hypertension, although a serious condition, does not directly contribute to the development of delirium in this scenario. Delirium is often multifactorial, with underlying medical conditions, infections, and stress being key contributors. In this case, the nurse would focus on discussing the client's risk factors such as urinary tract infections, acute stress, and bone fractures with the family members to prevent delirium.