ATI RN
ATI Mental Health Proctored Exam 2023 NGN Questions
Question 1 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.
Question 2 of 5
A nurse is getting ready to transfer a client diagnosed with schizophrenia to a partial hospital program. What is the next best step before that client is discharged?
Correct Answer: C
Rationale: The correct answer is C because contacting the partial program and reviewing the client's history with the staff ensures a smooth transition and continuity of care. This step allows the receiving facility to be prepared to meet the client's needs effectively. Option A and B do not involve coordination with the receiving program, risking discontinuity of care. Option D includes providing records to the program but lacks the crucial step of reviewing the client's history with the staff beforehand, which could lead to potential misunderstandings or gaps in care.
Question 3 of 5
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
Correct Answer: B
Rationale: The correct answer is B because prescribing psychotropic medication is within the scope of practice of an advanced practice nurse (APN), such as a psychiatric nurse practitioner. APNs have advanced education and training that allows them to diagnose and prescribe medications for mental health conditions. A: Conducting mental health assessments is a common role for staff nurses and does not require advanced practice training. C: Establishing therapeutic relationships is a fundamental nursing skill that staff nurses and APNs both perform. D: Individualizing nursing care plans is also a standard nursing practice that does not necessarily require advanced practice skills.
Question 4 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 5 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.