ATI RN
ATI PN Mental Health Proctored Exam 2023 Questions
Question 1 of 5
The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?
Correct Answer: B
Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.
Question 2 of 5
A nurse is assessing a client who is presenting with symptoms of hallucinations and delusions. They have had these symptoms for a week. The client does not have a history of a mood disorder; they do not have any medical conditions or history of substance misuse. What is the client's most likely diagnosis?
Correct Answer: C
Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.
Question 3 of 5
A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?
Correct Answer: C
Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. In Alzheimer's disease, agnosia is commonly seen due to damage in the brain areas responsible for processing sensory information. Asking the client to identify common objects helps assess their ability to recognize and comprehend the objects correctly. A: Aphasia is the impairment of language function, not object recognition. B: Apraxia is the inability to perform purposeful movements, not related to object recognition. D: Executive functioning involves cognitive processes such as planning, organizing, and decision-making, not directly related to object recognition in Alzheimer's disease.
Question 4 of 5
A nurse is participating in a neighborhood health fair and is screening participants for depression. Which individual would the nurse anticipate as being at increased risk for depression?
Correct Answer: A
Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.
Question 5 of 5
A health care provider prescribed long-acting antipsychotic medication injections every 3 weeks at the clinic for a patient with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance?
Correct Answer: D
Rationale: The correct answer is D: The availability of transportation to the clinic. This is critical because the patient needs to physically get to the clinic every 3 weeks for the injection to ensure medication adherence. Without transportation, the patient may miss appointments, leading to nonadherence. Significant others' attitudes (A) may influence support but not transportation. Nutrition services (B) are important for overall health but not directly related to medication adherence. Trust between patient and nurse (C) is essential but doesn't address the practical issue of getting to the clinic.