ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
The nurse is reviewing the medical record of a client with bipolar disorder. The nurse would most likely expect to find a history of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Panic disorder. Bipolar disorder and panic disorder commonly co-occur due to similarities in symptoms and underlying mechanisms. Both disorders involve periods of intense anxiety, fear, and impaired functioning. Research also suggests shared genetic and environmental risk factors. The other choices (B: Schizophrenia, C: Delusional disorder, D: Posttraumatic stress disorder) are less likely to be found in conjunction with bipolar disorder based on their distinct features and diagnostic criteria.
Question 2 of 5
The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The correct answer is C because showing respect that is not based on the client's behavior is essential in establishing a therapeutic relationship. This approach conveys unconditional positive regard, helping the client feel valued and accepted regardless of their current emotional state. Choice A of establishing a friendship may blur boundaries and hinder the professional therapeutic relationship. Choice B of using humor may not be appropriate for a client experiencing anger and depression. Choice D of sympathizing with the client's sad feelings may be seen as pity rather than genuine understanding, which can be counterproductive. Overall, choice C demonstrates empathy, understanding, and a non-judgmental attitude, which are crucial in building trust and rapport with the client.
Question 3 of 5
The nurse is reviewing the medical record of a client with bipolar disorder. The nurse would most likely expect to find a history of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Panic disorder. Bipolar disorder and panic disorder commonly co-occur due to similarities in symptoms and underlying mechanisms. Both disorders involve periods of intense anxiety, fear, and impaired functioning. Research also suggests shared genetic and environmental risk factors. The other choices (B: Schizophrenia, C: Delusional disorder, D: Posttraumatic stress disorder) are less likely to be found in conjunction with bipolar disorder based on their distinct features and diagnostic criteria.
Question 4 of 5
While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the patients is 'really psycho.' Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
Correct Answer: B
Rationale: The correct answer is B: Public stigma. The nurse's action of addressing the receptionist's derogatory comment about a patient as 'really psycho' indicates an attempt to address public stigma. Public stigma refers to the negative attitudes and beliefs held by society towards individuals with mental health conditions. By discussing the inappropriate language used by the receptionist, the nurse is addressing the perpetuation of negative stereotypes and discrimination against individuals with mental health issues. Incorrect Choices: A: Lack of knowledge - This choice would imply that the nurse is addressing a lack of knowledge about mental health conditions, which is not the main issue in this scenario. C: Label avoidance - This choice would imply that the nurse is avoiding using stigmatizing labels, which is not the main focus of the scenario. D: Self-stigma - This choice would imply that the nurse is addressing the internalized stigma experienced by individuals with mental health conditions, which is not the main issue being addressed in this scenario.
Question 5 of 5
A person has minor physical injuries after an auto accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety?
Correct Answer: C
Rationale: The correct answer is C: Severe anxiety. The person's symptoms indicate severe anxiety. Nausea, dizziness, tachycardia, and hyperventilation are all physical manifestations of severe anxiety. Additionally, the person's statement of feeling like something awful is going to happen, along with an inability to focus, also point towards severe anxiety. Mild anxiety typically wouldn't cause such intense physical symptoms. Moderate anxiety may cause some physical symptoms but not to the extent described in the scenario. Panic level of anxiety would usually involve more extreme symptoms such as a full-blown panic attack, which is not explicitly mentioned in the scenario.