ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it aims to address a specific behavioral symptom common in this population, promoting a more positive and effective interaction with others. Verbal outbursts can lead to conflict and negative consequences for the client, so reducing them can improve their social functioning.
Choice A (Use projection during group therapy) is incorrect because encouraging projection can exacerbate the client's tendency to blame others for their actions, reinforcing maladaptive behaviors.
Choice B (Increase self-esteem) is not the most relevant goal for addressing antisocial behavior specifically.
Choice C (Use bargaining skills for behavioral consequences) may not be effective as clients with antisocial personality disorder often have difficulty adhering to agreements and may manipulate situations for personal gain.
Question 2 of 5
A nurse is assessing a client who has opioid withdrawal. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Insomnia. Opioid withdrawal typically leads to increased sympathetic activity, causing symptoms like insomnia. Hypotension (
A) is not common in opioid withdrawal, as opioids can actually cause hypotension. Hyperthermia (
B) is also not a typical finding in opioid withdrawal. Bradycardia (
D) is unlikely as opioids usually cause bradycardia, not withdrawal. Insomnia (
C) is a common symptom due to the dysregulation of sleep-wake cycles during opioid withdrawal.
Question 3 of 5
A nurse is speaking with a client. Which of the following responses by the nurse demonstrates the communication technique of reflection?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the communication technique of reflection by mirroring the client's feelings back to them. This shows empathy and understanding, fostering a deeper connection.
Choice A is a supportive statement, not reflective.
Choice C focuses on problem-solving, not reflecting.
Choice D is an open-ended question, not reflective.
Question 4 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 tension. The individual may find it difficult to relax or sit still. Increased energy (choice
A) is not typically associated with generalized anxiety disorder, as individuals often feel fatigued. Euphoric mood (choice
C) is not likely, as anxiety tends to cause distress. Depersonalization (choice
D) is more commonly associated with dissociative disorders, not generalized anxiety disorder.
Question 5 of 5
A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skills?
Correct Answer: D
Rationale: The correct answer is D: How have you dealt with similar situations in the past? This question assesses the client's personal coping skills by inquiring about their past experiences with similar challenges. By understanding their previous coping mechanisms, the nurse can better tailor interventions to support the client effectively.
Choices A, B, and C focus more on the client's current emotions and perceptions, which are important but do not directly assess coping skills.
Choices E, F, and G are not provided but would likely be irrelevant to assessing coping skills.