ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive behavioral family therapy in response to which of the following client statements?
Correct Answer: A
Rationale: The correct answer is A because cognitive behavioral family therapy focuses on changing unhealthy thought patterns and behaviors. By expressing a desire to learn how to change reactions to family problems, the client is indicating readiness to work on cognitive and behavioral strategies.
Choice B focuses on understanding past experiences, not actively changing current behaviors.
Choice C emphasizes improving family understanding of boundaries, not individual reactions.
Choice D focuses on increasing awareness of feelings but lacks a direct focus on changing reactions.
Therefore, A is the most appropriate choice for cognitive behavioral family therapy.
Question 2 of 5
A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. In generalized anxiety disorder, restlessness is a common symptom due to excessive worry and fear. The individual may have difficulty sitting still and may appear agitated. Increased energy (
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued due to constant worry. Depersonalization (
C) is a dissociative symptom where one feels detached from oneself, not a common feature of generalized anxiety disorder. Euphoric mood (
D) is more characteristic of conditions like bipolar disorder, not generalized anxiety disorder.
Question 3 of 5
A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the child in seclusion. This action should be taken first to ensure the safety of the other children in the unit and prevent further physical aggression. Seclusion can help calm the child down and prevent harm to others. Using a therapeutic hold technique (
B) or applying wrist restraints (
C) may escalate the situation and pose a risk of injury to the child and others. Administering risperidone (
D) is a medication used for behavioral disorders, but it is not the first step in managing immediate physical aggression. It is crucial to prioritize safety and de-escalation strategies in such situations.
Question 4 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.
Question 5 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Social withdrawal. Negative symptoms in schizophrenia refer to the absence or reduction of normal behaviors or functions. Social withdrawal is a classic negative symptom, characterized by the client's lack of interest in social interactions or relationships. Delusions (
A) and hallucinations (
B) are positive symptoms involving distorted perceptions or beliefs. Agitation (
D) is a symptom of increased psychomotor activity, not a negative symptom. In summary, social withdrawal is the only choice that aligns with the definition of negative symptoms in schizophrenia.