ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in a psychiatric facility is planning care for a client who has depression and is at risk for suicide. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Assign the same staff to the client each shift. Consistency in staffing provides a stable and trusting relationship, crucial for clients at risk for suicide. This intervention promotes continuity of care and helps the client feel supported and understood. Other choices are incorrect: B may cause discomfort, C may lead to isolation, and D is dangerous.
Question 2 of 5
A nurse in a mental health facility is assessing a client who has schizophrenia. The nurse should document which of the following as a positive symptom?
Correct Answer: C
Rationale: The correct answer is C: Delusions. Positive symptoms refer to added behaviors or experiences not typically present in individuals without schizophrenia. Delusions are false beliefs that are not based on reality, which are considered a positive symptom. Social withdrawal (
A) is a negative symptom, involving a reduction or absence of normal behaviors. Flat affect (
B) is also a negative symptom, characterized by a lack of emotional expression. Lack of motivation (
D) is another negative symptom, reflecting reduced ability to initiate and sustain goal-directed activities.
Therefore, delusions (
C) align with positive symptoms of schizophrenia, making it the correct choice.
Question 3 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: C
Rationale:
Correct Answer: C - "I don’t feel anything but numbness anymore"
Rationale: This statement indicates a persistent emotional numbness, which is a common symptom of clinical depression. Numbness reflects a lack of emotional responsiveness and can be a sign of severe depression. Reporting this to the provider is crucial for further evaluation and intervention.
Incorrect
Choices:
A: "I don’t know how I could cope if I didn’t have my family’s support" - While expressing dependency on family support is understandable during grief, it does not necessarily indicate clinical depression.
B: "It’ll be a long time before I’m happy again" - This statement reflects a realistic view of the grieving process and does not specifically point towards clinical depression.
D: "I feel like I’m angry at the whole world right now" - Anger is a common emotion experienced during grief and does not solely indicate clinical depression.
Question 4 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 5 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity for the client during the day. Physical activity has been shown to be beneficial in managing symptoms of depression by releasing endorphins and improving overall mood. Exercise can help reduce feelings of sadness and improve sleep quality. Additionally, engaging in physical activity can provide a sense of accomplishment and boost self-esteem.
Choice A is incorrect because discouraging the client from expressing feelings of anger may lead to emotional suppression, which can exacerbate depressive symptoms.
Choice B is incorrect as scheduling alternative group activities may not directly address the client's need for physical activity, which has specific benefits for managing depression.
Choice D is incorrect as keeping a bright light on in the client's room at night may disrupt the client's sleep patterns and is not a primary intervention for major depressive disorder.