ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 of 5
When integrating the Neuman systems model while caring for a patient with a mood disorder, the nurse would focus on which of the following about the patient?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Neuman Systems Model focuses on stressors affecting the patient. 2. Stressors are key in understanding the patient's response to the environment. 3. In a mood disorder, stressors can exacerbate symptoms. 4. By focusing on stressors, the nurse can identify triggers and provide appropriate interventions. Summary of incorrect choices: A: Behaviors - Important, but not the primary focus in Neuman Systems Model. B: Relationships - Relevant, but not the central aspect in this context. C: Self-care activities - Relevant, but not the primary focus when considering a patient's mood disorder.
Question 2 of 5
A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates respect for the patient's autonomy and builds trust in the nurse-patient relationship. By contacting resources to provide medications without charge, the nurse addresses the patient's financial constraint while honoring their wishes to avoid the hospital. This intervention promotes continuity of care and supports the patient's well-being. Option B is incorrect because it does not address the patient's immediate need for medications and may not align with the patient's preferences. Option C is inappropriate as hospitalization should be a last resort and may not be necessary in this case. Option D is not the best initial intervention as it does not directly address the patient's concerns about being perceived as a traitor.
Question 3 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Insight-oriented therapy. This type of therapy focuses on exploring the underlying causes of behavior, emotions, and thoughts, which may not be effective for clients with delusional disorder. Clients with delusional disorder often have fixed false beliefs that are not amenable to insight-oriented therapy. B: Psychoeducation is important in helping clients and their families understand the disorder, its symptoms, and treatment options. C: Cognitive therapy helps clients identify and challenge irrational beliefs and thought patterns, which can be beneficial in managing delusions. D: Support therapy provides emotional support and coping strategies for clients, which is crucial in managing symptoms of delusional disorder. In summary, insight-oriented therapy may not be as effective for clients with delusional disorder compared to psychoeducation, cognitive therapy, and support therapy, which are more suitable interventions for this population.
Question 4 of 5
Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depression, the nurse would caution the patient about which over-the-counter supplement(s)? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: St. John's wort. St. John's wort can interact with antidepressant medications, leading to serotonin syndrome or decreasing the effectiveness of the antidepressants. It is important for the nurse to caution the patient about potential interactions. Fish oil (A), SAMe (B), and melatonin (D) do not have significant interactions with antidepressant medications, making them safe options for patients with major depression.
Question 5 of 5
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia?
Correct Answer: D
Rationale: The correct answer is D: Paranoia. Paranoia in patients with schizophrenia poses the greatest risk for injury to others as it can lead to aggressive behavior, violence, or harm towards others due to the patient's irrational belief that others are trying to harm them. This can result in dangerous situations where the patient may act out in self-defense or in an attempt to protect themselves from perceived threats. Explanation of other choices: A: Depersonalization does not typically lead to physical harm to others but rather a sense of detachment from oneself. B: Pressured speech may be a symptom of mania or anxiety disorders, but it is not directly linked to physical harm towards others. C: Negative symptoms refer to a decrease in normal emotional responses or other functions, which do not inherently pose a direct risk of injury to others.