ATI RN
ATI Mental Health Proctored Exam Quizlet Questions
Question 1 of 5
Terrell is a thirty-two-year-old male client who was just diagnosed with bipolar disorder and alcohol abuse disorder. He does not meet criteria for hospital admission and is currently able to work and safely care for himself at home. He is also on a new medication regimen that will need frequent lab draws and adjustments for the first several weeks. What is the best setting for treatment for Terrell?
Correct Answer: B
Rationale: The correct answer is B: an intensive community (outpatient) program (IOP). This setting is appropriate for Terrell as he is able to work and care for himself at home, does not require hospitalization, and needs close monitoring due to the new medication regimen. IOP provides structured treatment while allowing Terrell to maintain his daily routine. Choice A: a halfway house, is not the best option as Terrell is currently able to live independently at home and does not need the level of structure and support provided in a halfway house. Choice C: a residential treatment center (RTC), is not necessary as Terrell does not require 24/7 supervision and can continue living at home while attending regular treatment sessions. Choice D: Narcotics Anonymous (NA) is not the best setting for Terrell as his primary issues are bipolar disorder and alcohol abuse, not narcotics addiction. An IOP will provide the appropriate level of care and support for his current needs.
Question 2 of 5
Which statement made by a 9-year-old child after hitting a classmate is a typical comment associated with childhood conduct disorder?
Correct Answer: B
Rationale: The correct answer is B because saying "He deserved it for being a sissy" shows a lack of empathy and justification for aggressive behavior, which is a common trait in children with conduct disorder. Children with conduct disorder often lack remorse and blame others for their actions. Choice A shows remorse, Choice C shows minimization of the act, and Choice D shows blaming the victim, which are not typical of conduct disorder.
Question 3 of 5
An older adult client is brought to the emergency department after ingesting an unknown substance. The client, who appears to have dementia, has tremors, ataxia of the upper and lower extremities, depression, and confusion. The nurse suspects ingestion of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Mercury. The symptoms described (tremors, ataxia, depression, confusion) are indicative of mercury poisoning. Mercury affects the nervous system, leading to neurological symptoms. Lead poisoning would typically present with abdominal pain, anemia, and cognitive impairment. Aluminum toxicity is associated with bone pain, fractures, and dialysis encephalopathy. Manganese toxicity is linked to Parkinson's-like symptoms such as tremors and rigidity. Mercury is the most likely substance ingested based on the presented symptoms.
Question 4 of 5
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (A) and paranoid delusions (B) are not directly associated with a family history of alcoholism. Extroversion (D) is a personality trait and not necessarily linked to the patient's family background.
Question 5 of 5
A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry. Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause. Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder. Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.