ATI RN
ATI Mental Health Proctored Exam 2023
1. 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.
2. You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
- A. A new psychiatrist is a chance to start fresh; I'm sure it will go well for you.
- B. You say you look forward to the meeting, but you appear anxious or unhappy.
- C. I notice that you frowned and avoided eye contact just now. Don't you feel well?
- D. I get the impression you don't really want to see your psychiatrist—can you tell me why?
Correct answer: B
Rationale: Choice B is the most therapeutic response as it acknowledges the discrepancy between the patient's verbal statement and nonverbal cues. By addressing both the patient's expressed anticipation and the conflicting nonverbal cues of frowning and avoiding eye contact, the responder demonstrates attentiveness to the patient's emotional state and encourages further exploration of underlying feelings. This approach fosters open communication and helps the patient feel understood and supported.
3. A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, 'You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing:'
- A. A higher dosage
- B. Once-weekly dosing
- C. A lower dosage
- D. A different drug
Correct answer: C
Rationale: During the maintenance therapy stage for bipolar I disorder, it is common to lower the dosage of lithium to prevent side effects while still maintaining stability. Lowering the dosage helps to find the lowest effective dose that can still manage symptoms effectively with minimal side effects.
4. Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?
- A. Constantly afraid another student will steal her belongings.
- B. An unusual interest in numbers and specific topics.
- C. Demonstrates no interest in athletics or organized sports.
- D. Appears more comfortable among males.
Correct answer: B
Rationale: During the prodromal phase of schizophrenia, individuals may exhibit subtle changes in behavior or interests. An unusual interest in numbers and specific topics may be a sign of cognitive disturbances that can precede the onset of schizophrenia. While the other choices may also be observed in adolescents, an unusual interest in numbers and specific topics is more specifically linked to potential prodromal symptoms of schizophrenia.
5. Which chronic medical condition commonly triggers major depressive disorder?
- A. Pain
- B. Hypertension
- C. Hypothyroidism
- D. Crohn's disease
Correct answer: A
Rationale: Chronic pain is a common trigger for major depressive disorder. The persistent and distressing nature of chronic pain can lead to feelings of hopelessness, helplessness, and contribute to the development of major depressive disorder in individuals experiencing it.
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