ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
The nurse makes a home visit to a family caring for a client with Alzheimer's disease. The client's wife tells the nurse that she hasn't been out of the house for more than 2 weeks because her sister has been unable to help her care for the client. Which nursing diagnosis would the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Caregiver Role Strain related to social isolation. The priority nursing diagnosis addresses the wife's current state of distress due to social isolation, which can impact her ability to provide care for the client. This diagnosis directly addresses her feelings of being overwhelmed and unable to fulfill her caregiving role effectively. In contrast, option A focuses on family coping, which is secondary to the wife's immediate need for support. Option B is not as relevant since it does not address the wife's emotional and psychological stress. Option D refers to the client's emotional state rather than the wife's, making it less of a priority in this scenario.
Question 2 of 5
A nurse is working with a child for which an out-of-home placement has occurred. Which of the following would the nurse anticipate as the child's initial response?
Correct Answer: C
Rationale: The correct answer is C: Protest. When a child experiences an out-of-home placement, they typically respond with protest initially, displaying anger, resistance, and a sense of loss. This is a common reaction as the child may feel abandoned or confused. Despair (A) is usually a later response after protest. Withdrawal (B) involves isolating oneself, which is not an immediate response to out-of-home placement. Detachment (D) is a form of emotional disengagement, which is also not typically the initial response in this situation.
Question 3 of 5
A nurse is assessing a client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following?
Correct Answer: B
Rationale: The correct answer is B: Schizophrenia. The client's symptoms of disorganized, incoherent speech with loose associations and religious content are classic features of schizophrenia, specifically the positive symptoms. Schizophrenia is a severe mental disorder characterized by disturbances in thinking, emotions, and behavior. It typically presents in late adolescence or early adulthood. On the other hand, the other choices are incorrect because Alzheimer's disease primarily affects memory and cognitive function, substance intoxication would manifest with different symptoms depending on the substance, and depression typically presents with persistent feelings of sadness, hopelessness, and loss of interest in daily activities.
Question 4 of 5
What should the nurse do to locate credible sources of research in order to practice evidence-based interventions?
Correct Answer: B
Rationale: The correct answer is B because accessing professional databases like CINAHL ensures access to peer-reviewed research articles and studies. These databases are specifically designed to provide credible and evidence-based information for healthcare professionals. Asking a supervisor (A) may be helpful but may not guarantee access to reputable sources. Performing a Wikipedia search (C) is not recommended as it is not a reliable source for evidence-based practice. Asking a librarian (D) may be useful in guiding the nurse on how to effectively search and utilize professional databases like CINAHL, but the nurse should ultimately rely on accessing these databases directly for credible sources.
Question 5 of 5
The nurse is preparing to document information obtained from a client diagnosed with a delusional disorder who is experiencing somatic delusions. Which of the following would the nurse most likely document?
Correct Answer: D
Rationale: The correct answer is D: Body complaints. Somatic delusions involve false beliefs about one's body, such as having a serious illness or physical defect. The nurse would document the client's body complaints as they are directly related to the somatic delusions. Disorientation (A) and reduced attention span (B) are not specific to somatic delusions. Above average intelligence (C) is unrelated to the client's delusional disorder.