ATI RN
ATI Mental Health Proctored Exam 2019 with NGN Quizlet Questions
Question 1 of 5
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
Correct Answer: D
Rationale: The correct answer is D because hearing evil voices indicating potential psychosis or severe mental health issues requiring immediate attention. This statement suggests possible hallucinations and command hallucinations that pose a risk to the individual and others. It should be the priority focus for the plan of care. A: Trusting family is important but does not indicate immediate safety concern. B: Perception of bad luck may be relevant but not as urgent as potential hallucinations. C: Concern about betrayal is significant but does not pose an immediate risk compared to hearing evil voices.
Question 2 of 5
A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?
Correct Answer: D
Rationale: Rationale: - The correct answer is D because monitoring weight changes is crucial in the early stages of SSRI treatment, as weight gain could be a side effect. - A is incorrect because SSRIs do not typically affect fluid intake. - B is incorrect because abruptly stopping an SSRI can lead to withdrawal symptoms and should only be done under medical guidance. - C is incorrect as menstrual irregularities are not a common side effect of SSRIs. Summary: Monitoring weight changes is essential when taking SSRIs to address potential side effects. Other choices are incorrect as they do not align with the usual considerations for SSRI treatment.
Question 3 of 5
A student nurse is trying to remember the five different types of communication disorders. They know that unspecified means that it does not fit into a specific DSM-5 diagnosis classification but cannot remember the possible causes. How can the instructor explain it?
Correct Answer: D
Rationale: The correct answer is D because communication disorders labeled as unspecified can have various causes, including genetic predisposition, environmental factors, and physical conditions. Genetic factors play a role in some communication disorders, but they are not the sole cause. Traumatic brain injury, as mentioned in choice B, is a specific cause and not applicable to unspecified disorders. Choice C is incorrect as all disorders have underlying causes, even if they are not fully understood. Choice A is also incorrect as it oversimplifies the causes of unspecified communication disorders. In summary, choice D is the most comprehensive and accurate explanation as it considers the multifactorial nature of communication disorders.
Question 4 of 5
A person has minor physical injuries after an auto accident. The person is unable to focus and says, "I feel like something awful is going to happen." This person has nausea, dizziness, tachycardia, and hyperventilation. What is the person's level of anxiety?
Correct Answer: C
Rationale: The correct answer is C: Severe anxiety. The person's symptoms indicate severe anxiety. Nausea, dizziness, tachycardia, and hyperventilation are all physical manifestations of severe anxiety. Additionally, the person's statement of feeling like something awful is going to happen, along with an inability to focus, also point towards severe anxiety. Mild anxiety typically wouldn't cause such intense physical symptoms. Moderate anxiety may cause some physical symptoms but not to the extent described in the scenario. Panic level of anxiety would usually involve more extreme symptoms such as a full-blown panic attack, which is not explicitly mentioned in the scenario.
Question 5 of 5
Lilly, a single mother of four, comes to the crisis center 24 hours after a fire in which all the houses within a one-block area were wiped out. All of Lilly's household goods and clothing were lost. Lilly has no other family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. You assess the situation as:
Correct Answer: B
Rationale: The correct answer is B: An adventitious crisis. This type of crisis is caused by external events beyond a person's control, such as a natural disaster. In this scenario, Lilly's loss of her home and belongings due to the fire is an external event that led to her current state of distress. This crisis is not a result of her personal development or internal conflicts, ruling out options A, C, and D. Lilly's lack of support system and disorganization in seeking assistance further align with the characteristics of an adventitious crisis.