ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identify as a risk factor for violent behavior?
Correct Answer: B
Rationale: The correct answer is B: Alcohol intoxication. Alcohol intoxication can impair judgment, lower inhibitions, and lead to aggressive behavior, increasing the risk for violence. It is a well-known risk factor for violent behavior due to its effects on the brain and behavior. Schizoid personality disorder (
A) is characterized by social detachment, not necessarily violence. Dysthymic disorder (
C) is a chronic low mood condition, not directly linked to violent behavior. Long-term isolation (
D) may contribute to mental health issues but does not directly indicate a risk for violent behavior in the same way as alcohol intoxication.
Question 2 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 3 of 5
A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Changing the AP's assignment is appropriate because it addresses the AP's feelings of irritation in a professional manner. It ensures the client's care is not compromised due to the AP's negative emotions. It shows empathy towards the AP's concerns while prioritizing the client's well-being.
Summary:
A: Minimizes the client's feelings and does not address the AP's issue.
B: Focuses on the client's needs but does not address the AP's feelings.
C: Invalidates the AP's emotions and does not promote a supportive environment.
D: Addresses both the AP's feelings and the client's care effectively.
E, F, G: Not provided.
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 should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Self-mutilation. Individuals with borderline personality disorder often engage in self-harming behaviors as a way to cope with intense emotional distress. This behavior is a common symptom of the disorder and requires close monitoring and intervention by healthcare providers.
Choice B, pacing back and forth, is more commonly associated with anxiety disorders rather than borderline personality disorder.
Choice C, preoccupation with details, is more indicative of obsessive-compulsive disorder.
Choice D, disorganized speech, is a symptom often seen in schizophrenia rather than borderline personality disorder.
Therefore, the most likely expectation for a client with borderline personality disorder is self-mutilation due to the nature of the disorder and its associated symptoms.
Question 5 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.