ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
While caring for an 88-year-old client suspected of having dementia, the nurse assesses the client for a common delusional thought. Which of the following would the nurse interpret as a common delusion?
Correct Answer: D
Rationale: The correct answer is D: My roommate keeps stealing my clothes. This delusion is common in dementia patients, involving paranoia and mistrust. It is plausible and related to daily life, making it more likely in dementia. Choices A, B, and C are grandiose and persecutory delusions, which are less common in dementia and more characteristic of other mental health conditions.
Question 2 of 5
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor?
Correct Answer: B
Rationale: Rationale for correct answer (B): Hypnosis promotes increased control of pain perception by helping the individual focus on positive suggestions and imagery, reducing the perception of pain during contractions. By using hypnosis, the pregnant individual can learn to manage and cope with labor pain more effectively. Summary of incorrect choices: A: Biofeedback is a separate technique from hypnosis, focusing on monitoring and controlling physiological responses. C: Therapeutic touch is a different nonpharmacological pain management technique that involves the use of touch to promote relaxation, not specifically related to hypnosis. D: While hypnosis can provide guidance and suggestions, its primary focus is on enhancing control over pain perception rather than solely minimizing pain.
Question 3 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Patients with intellectual disabilities may have difficulty understanding and adhering to dietary restrictions required with MAOIs, increasing the risk of hypertensive crisis. SSRIs and SNRIs (A and C) are generally safer and easier to manage in such patients. Therefore, MAOIs would be the classification of antidepressants that the nurse would question for a patient with a mild intellectual disability.
Question 4 of 5
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her 'mixed-up feelings' about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it 'makes the numbness stop.' Given this presentation, which personality disorder would you suspect?
Correct Answer: B
Rationale: The correct answer is B: Borderline Personality Disorder. Josie's intense fear of abandonment, unstable self-image, impulsivity, and self-harming behavior are classic symptoms of borderline personality disorder. Her sudden anger when you mention your vacation and her self-harming behavior to cope with emotional distress are indicative of this disorder. A: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness and control, not by self-harm or intense emotional instability like Josie's case. C: Antisocial personality disorder involves a disregard for others' rights and feelings, which does not align with Josie's fear of abandonment and self-harm behavior. D: Schizotypal personality disorder features odd beliefs and behaviors, social isolation, and paranoia, not the impulsive, self-destructive behavior seen in Josie.
Question 5 of 5
Marco, age 83, has dementia and difficulty feeding himself despite the fact that there is nothing wrong with his motor functions. Which term should the nurse use to document this finding?
Correct Answer: B
Rationale: The correct answer is B: Apraxia. Apraxia is the inability to perform purposeful movements despite the absence of motor or sensory impairment. In this case, Marco is experiencing difficulty feeding himself despite intact motor functions, indicating apraxia. A: Aphasia is the loss of ability to understand or express speech, which is not the case here. C: Agnosia is the inability to recognize objects or people, which is not relevant to Marco's situation. D: Disinhibition anergia is not a recognized term in the context of this question.