ATI RN
ATI RN Mental Health Proctored Exam Questions
Question 1 of 9
The parent of a 4-year-old rewards and praises the child for helping a sibling, being polite, and using good manners. These qualities are likely to be internalized and become part of which system of the personality?
Correct Answer: C
Rationale: The correct answer is C: Superego. The superego is the part of the personality that represents internalized societal and parental standards, values, and morals. When a child is rewarded and praised for positive behaviors such as helping others and being polite, these qualities are likely to be internalized and become part of the child's superego. The superego guides the individual towards moral and ethical behavior. Choices A, B, and D are incorrect. The id is the instinctual and impulsive part of the personality, the ego is the rational and reality-oriented part, and the preconscious contains thoughts and memories that are not currently in awareness.
Question 2 of 9
A psychiatric mental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include?
Correct Answer: A
Rationale: The correct answer is A because discussing strategies to counteract the role media plays in encouraging eating disorders is crucial for promoting healthy body image and preventing eating disorders among students. Media portrayal of unrealistic body standards can negatively impact children's self-esteem and body image. By educating teachers on strategies to address these influences, they can help students develop a positive relationship with food and their bodies. Choices B, C, and D are incorrect because: B: Focusing prevention efforts solely on female students overlooks the fact that eating disorders can affect individuals of all genders. C: Allowing students to eat without undue attention is important, but solely focusing on this aspect does not address the broader issue of media influence. D: Peer pressure can still be a significant factor in influencing behaviors, even among fifth and sixth-grade students. Dismissing its relevance can lead to overlooking important preventive measures.
Question 3 of 9
A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?
Correct Answer: A
Rationale: The correct answer is A because it accurately describes the relapse cycle for individuals with co-occurring cognitive disorders and alcoholism. Step 1: Discharged from the hospital, leading to using alcohol instead of medication. Step 2: Alcohol use leads to resurfacing of psychiatric symptoms. Step 3: Rehospitalization and control of symptoms with medications. Step 4: Cycle repeats after discharge. Other choices lack the comprehensive explanation of the relapse cycle, such as hallucinations being the sole trigger (B), unrelated alcoholism and psychiatric illness (C), and the cycle being solely triggered by attempts to stop drinking (D).
Question 4 of 9
A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.
Question 5 of 9
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?
Correct Answer: D
Rationale: The correct answer is D: Hope. Hope is crucial in the recovery process as it motivates individuals to strive for a better future despite challenges. It instills optimism and belief in one's ability to overcome difficulties, which is essential in mental health recovery. Self-direction (A) and peer support (B) are important aspects of recovery but hope is foundational. Respect (C) is valuable but does not encompass the essence of fostering motivation and resilience like hope does in the recovery journey.
Question 6 of 9
The nurse is working with a patient who will be signing a commitment to treatment statement. After teaching the patient about this statement, the nurse determines the need for additional instruction when the patient states which of the following?
Correct Answer: A
Rationale: Rationale: Choice A is incorrect because signing the commitment to treatment statement does not guarantee that the patient will not commit suicide. The correct answer is D, as it aligns with the purpose of the commitment statement, which is to agree to participate in necessary treatment. Choice B is incorrect as it focuses on emergency treatment only. Choice C is incorrect as it does not address the commitment to treatment itself. Therefore, the patient needs additional instruction to understand the purpose of the commitment statement is to participate in necessary treatment, not to prevent suicide.
Question 7 of 9
A patient has been placed in an anger management group because he has trouble controlling his angry outbursts. The nurse interprets this type group as an example of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Psychoeducation. In an anger management group, the focus is on providing information and teaching strategies to help individuals understand and manage their anger effectively. This aligns with the concept of psychoeducation, which aims to educate individuals about their condition and equip them with skills to cope with it. A: Psychotherapy typically involves more in-depth exploration of underlying issues and emotions, which may not be the primary focus in an anger management group. B: Self-help usually refers to individuals independently seeking resources or support outside of a structured group setting. D: Supportive therapy focuses on providing emotional support rather than specific education or skill-building related to anger management.
Question 8 of 9
Jane is a nursing student living with ADHD. She knows from her own experience that this neurodevelopmental disorder affects being able to pay attention and being overly active. What is one other statement that is true about ADHD?
Correct Answer: A
Rationale: 1. ADHD is one of the most common neurodevelopmental disorders, affecting about 5-7% of children worldwide. 2. This prevalence makes choice A correct as it highlights the widespread occurrence of ADHD. 3. Choice B is incorrect as ADHD can persist into adulthood, affecting around 2-5% of adults. 4. Choice C is incorrect as medication is not the only treatment option, and it is not commonly prescribed for children under six due to potential side effects. 5. Choice D is incorrect as individuals with ADHD are at higher risk for accidents and injuries due to impulsivity and inattention. In summary, choice A is the correct statement as ADHD is indeed one of the most common neurodevelopmental disorders.
Question 9 of 9
The parent of a 4-year-old rewards and praises the child for helping a sibling, being polite, and using good manners. These qualities are likely to be internalized and become part of which system of the personality?
Correct Answer: C
Rationale: The correct answer is C: Superego. The superego is the part of the personality that represents internalized societal and parental standards, values, and morals. When a child is rewarded and praised for positive behaviors such as helping others and being polite, these qualities are likely to be internalized and become part of the child's superego. The superego guides the individual towards moral and ethical behavior. Choices A, B, and D are incorrect. The id is the instinctual and impulsive part of the personality, the ego is the rational and reality-oriented part, and the preconscious contains thoughts and memories that are not currently in awareness.