ATI RN
2019 ATI Mental Health Proctored Exam Questions
Question 1 of 5
The nurse is caring for a patient who has been under severe stress while caring for her elderly mother who is in the advanced stages of Alzheimer's disease. The nurse explains that the patient is adapting to the stress she is experiencing because of which of the following?
Correct Answer: A
Rationale: Correct Answer: A: Ability to survive in the midst of severe stress Rationale: 1. The patient is under severe stress due to caring for her mother with Alzheimer's disease. 2. Adaptation to stress involves the ability to survive and cope with challenging situations. 3. Surviving severe stress indicates the patient's resilience and ability to endure difficult circumstances. 4. This choice best reflects the patient's capacity to manage and withstand the stress she is facing. Summary: B: Acceptance of others' help in caring for her mother - This choice focuses on receiving help from others, which may not directly relate to the patient's ability to adapt to stress. C: Success at being able to solve problems - While problem-solving skills are valuable, adaptation to stress goes beyond just solving problems. D: Capability in setting reasonable personal goals - Setting goals is important but may not directly address the patient's adaptation to severe stress.
Question 2 of 5
The nurse has instructed a client with panic disorder about how to use the technique of positive self-talk. The nurse determines that the client has understood the instructions when the client verbalizes which statement to use during an impending panic attack?
Correct Answer: B
Rationale: The correct answer is B: "I can handle this anxiety; it will be over shortly." This statement reflects positive self-talk by acknowledging the anxiety but also affirming the client's ability to cope and that the situation is temporary. This empowers the client to manage the panic attack effectively. Incorrect Choices: A: "I am feeling very nervous right now." This choice focuses only on acknowledging the feeling without providing a positive coping strategy. C: "I am taking medication to eliminate these symptoms." This choice relies solely on medication and does not address the client's ability to cope with the panic attack. D: "Relax your muscles, relax your muscles." This choice provides a relaxation technique but lacks the empowering and affirming aspect of positive self-talk.
Question 3 of 5
A client has made multiple visits to the clinic. The nurse suspects that the client may be experiencing complex somatic symptom disorder based on which of the following?
Correct Answer: C
Rationale: The correct answer is C: Reports of the same symptoms repeatedly. In complex somatic symptom disorder, individuals often report persistent physical symptoms with no clear medical explanation. By repeatedly reporting the same symptoms, the client demonstrates a key characteristic of this disorder. Choices A, B, and D do not directly align with the diagnostic criteria for complex somatic symptom disorder. Expressions of concern about psychological problems (A) could indicate other mental health conditions. Indications that parents were always in 'good health' (B) and evidence of a need for social support from friends (D) are not specific to complex somatic symptom disorder.
Question 4 of 5
The nurse is counseling a parent whose child has a communication disorder. Which of the following would the nurse emphasize when teaching the parent about this disorder?
Correct Answer: B
Rationale: The correct answer is B: Initiating conversations with the child frequently. This is important as it helps the child practice communication skills and improves their confidence. By engaging in regular conversations, the child gets more opportunities to develop their speech and language abilities. Option A is incorrect as solely focusing on nonverbal activities may neglect the child's speech development. Option C is incorrect as stopping the child's conversation when stuttering begins can lead to frustration and hinder progress. Option D is incorrect as medication is not typically the primary treatment for communication disorders in children.
Question 5 of 5
When describing the relapse cycle to a group of families of clients experiencing co-occurring disorders, which of the following would the nurse identify as occurring first?
Correct Answer: B
Rationale: The correct answer is B: Decompensation. In the relapse cycle of co-occurring disorders, decompensation typically occurs first. Decompensation refers to a deterioration in mental health symptoms or functioning. This phase often precedes hospitalization, stabilization, and discharge. It signifies a worsening of symptoms and coping mechanisms, leading to a need for increased support and intervention. Hospitalization (choice A), stabilization (choice C), and discharge (choice D) usually occur after decompensation as steps in the treatment process to address the relapse.