ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 of 5
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Genes on the Y chromosome determine the sex of a fetus. 2. The presence of the SRY gene on the Y chromosome leads to male development. 3. Absence of the Y chromosome results in female development. 4. This genetic factor is crucial in determining the sex of the fetus. Summary: - Choice B is incorrect as it refers to the formation of ovaries, which is not directly related to the sex determination process. - Choice C is incorrect because rising testosterone levels are a consequence of male development, not the primary determinant. - Choice D is incorrect as neurochemical inhibition is not a factor in determining the sex of the fetus.
Question 2 of 5
The nurse is developing a plan of care for a client with chronic pain caused by osteoarthritis. The client's pain has been severe and prolonged. Which of the following would the nurse identify as a priority assessment?
Correct Answer: D
Rationale: The correct answer is D: Depression. Depression is a common comorbidity with chronic pain and can exacerbate the client's overall condition. The nurse should prioritize assessing for depression as it can impact the client's pain management, adherence to treatment, and overall quality of life. Grief, panic disorder, and bulimia are important considerations but may not directly impact the client's chronic pain management as significantly as depression. It is crucial for the nurse to address the client's mental health needs to provide holistic care and improve outcomes.
Question 3 of 5
The nurse is reviewing the medical records of several patients receiving antipsychotic agents. Which factors, if noted, would the nurse identify as placing a patient at greater risk for tardive dyskinesia?
Correct Answer: C
Rationale: Step-by-step rationale for choice C (History of depression) being the correct answer: 1. Tardive dyskinesia is a side effect of long-term antipsychotic use. 2. Patients with a history of depression may have been on antipsychotics for a longer duration. 3. Longer exposure increases the risk of tardive dyskinesia. 4. Other choices are not directly related to increased risk of tardive dyskinesia. Summary: Choice C is correct due to the longer duration of antipsychotic use in patients with a history of depression, leading to increased risk of tardive dyskinesia. Other choices do not have a direct correlation with tardive dyskinesia risk.
Question 4 of 5
A nurse is planning to provide teaching to a young adult client with insomnia. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C - Keep bedroom cool at night. This is important because a cool environment promotes better sleep by helping the body lower its core temperature, which is essential for falling and staying asleep. Choice A is incorrect as exercising close to bedtime can actually stimulate the body and make it harder to fall asleep. Choice B is incorrect as taking a nap during the day can interfere with the ability to fall asleep at night. Choice D is incorrect as consuming a high carbohydrate snack at bedtime may disrupt sleep due to potential indigestion or fluctuations in blood sugar levels. In summary, maintaining a cool bedroom temperature is crucial for promoting quality sleep in individuals with insomnia.
Question 5 of 5
Which can be described as an example of an oversimplified or undifferentiated belief?
Correct Answer: D
Rationale: The correct answer is D because it represents an oversimplified and undifferentiated belief by generalizing all alcoholics as "skid-row bums." This statement fails to acknowledge the diversity and complexity of individuals struggling with alcohol use disorder. It overlooks the fact that alcoholism can affect people from all walks of life, regardless of their socioeconomic status. In contrast, choices A, B, and C provide more nuanced and accurate perspectives on alcohol use disorder, emphasizing factors such as disease model, treatment methods, and spiritual beliefs that can aid in recovery.