ATI RN
ATI Mental Health Proctored Exam 2023
1. Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder?
- A. I'm so restless. I can't seem to sit still.
- B. I spend most of my time studying. I have to get into a good college.
- C. I'm not trying to diet, but I've lost about 5 pounds in the past 5 months.
- D. I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to sleep.
Correct answer: D
Rationale: Sleep disturbances, such as early morning awakening, are common symptoms of major depressive disorder.
2. Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?
- A. SSRIs
- B. Antipsychotics
- C. Benzodiazepines
- D. Tricyclic antidepressants
Correct answer: B
Rationale: Antipsychotics are known to cause extrapyramidal symptoms, which manifest as abnormal movement disorders. Nursing assessments are crucial in monitoring patients taking antipsychotics to promptly identify and manage these potential side effects.
3. Which intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?
- A. Screening a group of males aged 15 to 25 for early symptoms.
- B. Forming a support group for females aged 25 to 35 with substance use issues.
- C. Providing coping skills information to a group aged 45 to 55.
- D. Educating parents of developmentally delayed 5- to 6-year-olds on early intervention importance.
Correct answer: A
Rationale: Screening males aged 15 to 25 for early symptoms of schizophrenia is a well-chosen intervention as this age group is at a higher risk for developing the condition. Early identification can lead to timely treatment and better outcomes, making this intervention particularly effective in addressing the population at risk for schizophrenia.
4. When explaining suicide precautions to a client, what would be the best explanation?
- A. You need to control yourself. If you cannot, we will do it for you.
- B. This can seem embarrassing, but we want you to be safe.
- C. You will stay on these precautions for one week.
- D. When you feel you are safer, then we will not need to observe you.
Correct answer: D
Rationale: Choice D provides a supportive and empowering explanation to the client on suicide precautions. It emphasizes the client's own sense of safety and control, indicating that the observation is temporary and can be removed when the client feels safer. This approach promotes autonomy and encourages the client to actively participate in their own well-being, fostering a therapeutic relationship based on trust and collaboration.
5. Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:
- A. Generally good health despite the mental illness.
- B. An aversion to drinking fluids.
- C. Anxiety and depression.
- D. The ability to express his needs.
Correct answer: C
Rationale: Individuals with schizophrenia often turn to excessive alcohol consumption as a way to manage symptoms of anxiety and depression. This maladaptive coping mechanism can exacerbate the challenges associated with schizophrenia and may hinder effective treatment outcomes. Recognizing the presence of anxiety and depression alongside alcohol abuse is crucial for providing holistic care and support to individuals with schizophrenia.
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