ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 5
The nurse is counseling a family whose child has autism. When describing this condition, which of the following would the nurse most likely include?
Correct Answer: C
Rationale: The correct answer is C: Onset before child is 2.5 years old. This is because autism spectrum disorder typically presents in early childhood, with symptoms becoming noticeable before the age of 2.5 years. Early intervention is crucial for improving outcomes. A: Connection to ineffective parental practices is incorrect as autism is a neurodevelopmental disorder with genetic and environmental factors. B: Detection after the child enters school is incorrect as early signs of autism can be observed much earlier. D: Girls are more frequently affected than boys is incorrect as autism is diagnosed more frequently in boys than girls.
Question 2 of 5
A nurse is part of a multidisciplinary team working with groups of depressed patients. One group receives supportive interventions and antidepressants. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?
Correct Answer: D
Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology focuses on studying the outcomes of interventions in clinical settings. In this scenario, the nurse and the multidisciplinary team are evaluating the outcomes of different treatment approaches for depressed patients. This involves assessing the effectiveness of supportive interventions and antidepressants compared to medication alone. This type of study design allows for the evaluation of the impact of interventions on patient outcomes. Explanation for other choices: A: Incidence - Incidence refers to the rate of new cases of a condition in a population over a specified period. This choice is not relevant to the scenario described. B: Prevalence - Prevalence refers to the proportion of individuals in a population with a specific condition at a given point in time. This choice is not relevant to the scenario described. C: Comorbidity - Comorbidity refers to the presence of two or more conditions in an individual. This choice is not relevant to the scenario described.
Question 3 of 5
During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from:
Correct Answer: A
Rationale: The correct answer is A: Major depression. The widow's symptoms of emptiness, loss of self, difficulty thinking of the future, and anger are indicative of major depression, which is a common reaction to a significant loss. The duration of symptoms (15 months) and their severity suggest a diagnosis of major depression rather than normal grieving or adjustment disorder. Posttraumatic stress disorder is characterized by specific trauma-related symptoms, which are not evident in this case.
Question 4 of 5
What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver?
Correct Answer: B
Rationale: The correct answer is B because caregivers who were neglected as children may have unresolved trauma, leading to higher likelihood of abusing older adults. Neglect in childhood can result in emotional issues, lack of empathy, and unhealthy coping mechanisms, increasing the risk of abusive behavior towards vulnerable individuals. Choice A (single male relative) does not have a direct correlation with increased risk of abuse. Choice C (caregiver under 30) is not necessarily indicative of abusive behavior. Choice D (little experience with the elderly) may lead to challenges in caregiving but does not inherently indicate a greater risk of abuse compared to a history of childhood neglect.
Question 5 of 5
Randi feels excluded in group activities and social events and expresses sadness to the nurse. According to Maslow, where have needs not been met?
Correct Answer: C
Rationale: According to Maslow's hierarchy of needs, social needs, such as belongingness and love, come after physiological and safety needs. Randi's feeling of exclusion in group activities and social events indicates a lack of fulfilling these social needs. Self-actualization needs relate to personal growth and achieving one's full potential, not the issue at hand. Safety needs focus on physical security, which is not the primary concern in this scenario. Esteem needs involve feeling respected and valued, but in Randi's case, the immediate issue is the lack of inclusion and connection in social settings, pointing to unmet social needs.