ATI RN
ATI Mental Health Proctored Exam 2019
1. A healthcare professional is assessing a client who has been diagnosed with schizophrenia and is exhibiting negative symptoms. Which of the following is an example of a negative symptom?
- A. Hallucinations
- B. Delusions
- C. Apathy
- D. Disorganized speech
Correct answer: C
Rationale: Apathy is a negative symptom of schizophrenia characterized by a lack of interest or motivation. Negative symptoms involve a decrease or absence of normal functions, such as emotions, motivation, or socialization, rather than the presence of abnormal behaviors like hallucinations or delusions. Hallucinations (choice A) and delusions (choice B) are positive symptoms, which involve the presence of abnormal behaviors. Disorganized speech (choice D) is an example of a disorganized symptom, not a negative symptom.
2. Which statement indicates an understanding of the DSM-5 diagnosis?
- A. The DSM-5 includes information on cultural considerations.
- B. The DSM-5 is a tool for healthcare providers.
- C. The DSM-5 is not used for legal purposes.
- D. The DSM-5 includes information on the prevalence of mental disorders.
Correct answer: A
Rationale: Option A is the correct answer as the DSM-5 not only provides specific criteria for diagnosing mental disorders but also includes information on cultural considerations. Understanding cultural factors is crucial in making accurate diagnoses and providing appropriate care, highlighting the comprehensive nature of the DSM-5 for healthcare providers. Choices B, C, and D are incorrect because while the DSM-5 is indeed a tool for healthcare providers, it is also used in legal settings, and it focuses on diagnostic criteria and not just the prevalence of mental disorders.
3. A client is experiencing alcohol withdrawal. Which symptom should the nurse identify as a priority to address?
- A. Tremors
- B. Nausea and vomiting
- C. Increased blood pressure
- D. Insomnia
Correct answer: C
Rationale: During alcohol withdrawal, increased blood pressure is a critical symptom that requires immediate attention. Elevated blood pressure can lead to serious complications such as cardiovascular events or stroke. Monitoring and managing blood pressure in clients experiencing alcohol withdrawal is crucial to prevent adverse outcomes. Tremors, nausea and vomiting, and insomnia are common symptoms of alcohol withdrawal, but they are not as immediately life-threatening as increased blood pressure. Therefore, addressing increased blood pressure takes precedence in the management of a client experiencing alcohol withdrawal.
4. A healthcare provider is evaluating a client who is taking selective serotonin reuptake inhibitors (SSRIs) for depression. Which symptom should the healthcare provider identify as an adverse effect that requires immediate attention?
- A. Increased appetite
- B. Weight gain
- C. Blurred vision
- D. Suicidal thoughts
Correct answer: D
Rationale: Suicidal thoughts are a serious adverse effect associated with SSRIs and require immediate attention. This symptom is critical as it can increase the risk of self-harm or suicide in individuals taking these medications. Increased appetite and weight gain are common side effects of SSRIs but do not require immediate attention. Blurred vision is not a typical adverse effect of SSRIs, making it an incorrect choice. Healthcare providers must promptly recognize and address suicidal thoughts to ensure the safety and well-being of the client.
5. A client prescribed fluoxetine for depression is receiving education from a healthcare provider. Which statement by the client indicates an accurate understanding of the medication?
- A. I should take this medication at bedtime to avoid nausea.
- B. I should avoid driving until I know how this medication affects me.
- C. I should take this medication with food to avoid stomach upset.
- D. I should take this medication as needed for anxiety.
Correct answer: B
Rationale: The correct answer is B. Fluoxetine can cause drowsiness, affecting a person's ability to drive safely. It is essential to avoid driving until the client knows how the medication affects them to ensure safety. Choice A is incorrect because fluoxetine is usually taken in the morning due to its potential to cause insomnia. Choice C is incorrect as fluoxetine is recommended to be taken with food to minimize gastrointestinal side effects, not specifically to avoid stomach upset. Choice D is incorrect because fluoxetine is typically prescribed for depression or other mood disorders on a daily basis, not as needed for anxiety.
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