ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ask the client directly about the content of the hallucinations. This intervention is crucial in understanding the nature and severity of the hallucinations, which helps in tailoring appropriate treatment and support. It also fosters trust between the nurse and the client, promoting open communication. Encouraging the client to listen to loud music (
A) may exacerbate the hallucinations. Instructing the client to ignore the voices (
C) may not be effective and could lead to increased distress. Avoiding discussing the hallucinations (
D) may hinder the therapeutic relationship and prevent necessary interventions.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should describe during the medical evaluation?
Correct Answer: B
Rationale: The correct answer is B: ECG. When evaluating a client with bulimia nervosa, an ECG is crucial to assess for potential cardiac complications due to electrolyte imbalances from purging behaviors. This test helps to detect irregularities in heart rhythm or structure. Chest x-ray (
A) is not typically indicated for bulimia nervosa. Coagulation studies (
C) are more relevant for assessing clotting disorders, not commonly associated with bulimia nervosa. Liver function test (
D) is important for assessing liver health but not usually a priority in the initial evaluation of bulimia nervosa.
Question 3 of 5
A nurse is caring for a client with Alzheimer’s disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Use symbols to assist the client in locating rooms. Individuals with Alzheimer's disease often experience confusion and disorientation. Using symbols, such as pictures or color-coded signs, can help the client navigate and locate rooms easily. This promotes independence and reduces the client's anxiety.
Choice A is incorrect because seating the client at a dining table with six or more residents may overwhelm them and increase confusion.
Choice B is incorrect as providing several meal choices can be overwhelming for individuals with Alzheimer's.
Choice C is incorrect because giving complete directions before starting client care may not be effective due to the client's memory impairment.
Question 4 of 5
A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Persistent mood swings. Individuals with borderline personality disorder often experience intense and rapidly shifting emotions, leading to persistent mood swings. This is a hallmark feature of the disorder, characterized by feelings of emptiness, impulsivity, and unstable relationships. Hypersomnia (
B) is not typically associated with borderline personality disorder. Avoidance of eye contact (
C) may be seen in other conditions such as social anxiety disorder but is not specific to borderline personality disorder. Ritualistic behaviors (
D) are more commonly associated with conditions like obsessive-compulsive disorder, not borderline personality disorder.
Question 5 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.