ATI RN
Proctored ATI Mental Health Questions
Question 1 of 5
The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing the effect of caffeine on sleep with the client, which of the following would the nurse incorporate into the discussion as a caffeine effect?
Correct Answer: C
Rationale: The correct answer is C: Decreased REM sleep. Caffeine is a stimulant that can interfere with the sleep cycle by reducing the amount of REM (rapid eye movement) sleep, which is crucial for restorative functions. Here's the rationale: 1. Caffeine blocks adenosine receptors, which can disrupt the natural sleep stages, including REM sleep. 2. REM sleep is important for memory consolidation and cognitive function, so a decrease in REM sleep can lead to cognitive impairments. 3. Choices A and B are incorrect because caffeine typically increases sleep latency and decreases total sleep time. 4. Choice D is incorrect because caffeine is known to reduce slow-wave sleep, which is the deep, restorative stage of sleep.
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 reviewing the American Nurses Association's Statement on Psychiatric Nursing Practice published in 1967, which sanctioned the involvement of psychiatric-mental health nurses in the provision of holistic nursing care. Integrating knowledge of the various theories and views of mental health and illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
Correct Answer: B
Rationale: Rationale: 1. Florence Nightingale emphasized holistic care in her publication "Notes on Nursing." 2. She advocated for considering physical, emotional, social, and spiritual aspects of patients' well-being. 3. This aligns with the holistic approach endorsed by the American Nurses Association in 1967. 4. Sigmund Freud's psychoanalytic theory focuses on unconscious processes, not holistic care. 5. Hildegarde Peplau's theory emphasizes nurse-patient relationships, not specifically holistic care. 6. Clifford Beers' work focuses on his personal experience with mental illness, not holistic care. Summary: Florence Nightingale's "Notes on Nursing" is the correct choice as it aligns with the holistic approach endorsed by the American Nurses Association in 1967. Other options do not directly relate to holistic care.
Question 4 of 5
Which factor isn't likely to attract a patient to complementary and alternative medicine?
Correct Answer: A
Rationale: The correct answer is A because the statement that complementary and alternative medicine is always less expensive than conventional medical treatment is not true. Cost is often a significant factor in healthcare decisions, but it is not the only factor that attracts patients to complementary and alternative medicine. Patients may be drawn to these practices due to a desire for more personalized care (B), a perception of lower risk compared to pharmaceuticals (C), or dissatisfaction with the effectiveness of traditional medicine (D). However, cost alone is not a primary factor in choosing complementary and alternative medicine.
Question 5 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.