ATI RN
2023 ATI Mental Health Proctored Exam Questions
Question 1 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.
Question 2 of 5
The nurse is reviewing a client's medical record and finds that he has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care?
Correct Answer: A
Rationale: The correct answer is A: Category I. In the Quadrant Model of Integrated Healthcare, Category I refers to the treatment of co-occurring disorders in the primary care setting. This means that the client is receiving integrated care for both physical and mental health conditions in one location, promoting holistic and comprehensive treatment. Choices B, C, and D do not align with the specific scenario described and represent different levels or types of care in the Quadrant Model.
Question 3 of 5
The nurse is determining the success of a patient's plan of care by evaluating outcome indicators. The nurse understands that these indicators are usually determined initially at which time?
Correct Answer: B
Rationale: The correct answer is B: During the assessment process. This is because outcome indicators are used to measure the effectiveness of the care plan and are typically established during the assessment phase to provide a baseline for comparison. By evaluating outcome indicators during the assessment process, the nurse can track progress, adjust interventions if needed, and ensure the patient's goals are being met. A: On the day of discharge - This is incorrect because outcome indicators are typically determined before discharge to assess the overall success of the care plan. C: At the initial interview - This is incorrect as outcome indicators are more closely related to the assessment process and ongoing evaluation. D: With goal-setting process - This is incorrect because while outcome indicators are used to measure goal achievement, they are typically determined during the assessment to establish a starting point.
Question 4 of 5
The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patient's psychological domain, which question would the nurse ask first?
Correct Answer: A
Rationale: The correct answer is A because it encourages the patient to express their feelings without assuming or directing their response. This open-ended question allows the patient to share their emotional state freely, providing valuable insight into their psychological well-being. Choice B focuses specifically on depressed moods, which may limit the patient's response. Choice C is more focused on the patient's caregiving duration rather than their current emotional state. Choice D assumes the patient is feeling overwhelmed and may not capture the full range of emotions the patient is experiencing. Overall, choice A promotes effective communication and comprehensive assessment of the patient's psychological domain.
Question 5 of 5
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the following?
Correct Answer: B
Rationale: The correct answer is B: Oculogyric crisis. This condition is characterized by sustained upward deviation of the eyes, commonly seen with antipsychotic medications like haloperidol. Akathisia is restlessness and inability to sit still, not related to eye movement. Retrocollis is sustained backward neck extension, not eye movement. Tardive dyskinesia is characterized by involuntary movements of the face and body, not specifically eye movement.