ATI RN
ATI Mental Health Proctored Exam 2023
1. Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster family shares this information with the nurse. The nurse teaches the family members about children who have suffered trauma and knows her teaching was effective when the foster mother states:
- A. I understand that imaginary friends are abnormal.
- B. I understand that imaginary friends are a maladaptive behavior.
- C. I understand that imaginary friends are a coping mechanism.
- D. I understand that we should tell the child that imaginary friends are unacceptable.
Correct answer: C
Rationale: Imaginary friends can serve as a coping mechanism for children, especially those who have experienced trauma. They can provide comfort and a sense of control in challenging situations. Acknowledging and supporting the child's imaginary friend can be beneficial in their emotional healing and development.
2. Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select one that doesn't apply.
- A. Monitor the patient's vital signs frequently.
- B. Keep the patient distracted with group-oriented activities.
- C. Provide the patient with frequent milkshakes and protein drinks.
- D. Reduce the volume on the television and dim bright lights in the environment.
Correct answer: B
Rationale: When caring for a patient demonstrating manic behavior, it is crucial to monitor vital signs frequently to ensure the patient's physical health is stable. Providing nutrition, such as milkshakes and protein drinks, is essential to meet the patient's dietary needs. Diminishing environmental stimuli by reducing the volume on the television and dimming bright lights can help create a calmer environment. However, keeping the patient distracted with group-oriented activities may not be the most appropriate intervention as it could potentially exacerbate the manic behavior by overstimulating the patient. Therefore, this choice is the one that doesn't apply in managing manic behavior effectively.
3. Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:
- A. Favorable with medication
- B. In the relapse stage
- C. Improvable with psychosocial interventions
- D. To have a less positive outcome
Correct answer: D
Rationale: The scenario describes Gilbert as having an early and slow onset of schizophrenia, which typically indicates a less positive prognosis. Individuals with such presentations may experience more severe symptoms and difficulties in functioning, leading to a poorer long-term outcome. In Gilbert's case, his challenges with completing tasks, social withdrawal, and fixation on security measures suggest a more challenging prognosis. Early detection and intervention are crucial in managing schizophrenia, but the described symptoms and onset pattern are concerning for a less favorable outcome.
4. When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:
- A. Medications provided are ineffective.
- B. Nurses are trying to control their minds.
- C. The medications will make them sick.
- D. They are not actually ill.
Correct answer: D
Rationale: Anosognosia is a lack of insight that affects patients with schizophrenia, leading them to deny or lack awareness of their illness. This lack of awareness often results in patients refusing medication because they genuinely believe they are not ill and do not need treatment. It is crucial for healthcare providers to approach such situations with understanding and empathy, recognizing the impact of anosognosia on treatment adherence.
5. Which intervention focuses on managing a common characteristic of major depressive disorder associated with the older population?
- A. Conducting routine suicide screenings at a senior center.
- B. Identifying depression as a natural, but treatable outcome of aging.
- C. Identifying males as at a greater risk for developing depression.
- D. Stressing that most individuals experience only a single episode of major depression in a lifetime.
Correct answer: A
Rationale: Conducting routine suicide screenings at senior centers is crucial in managing major depressive disorder in the older population. Screening helps identify individuals at risk, allows for timely intervention, and contributes to the overall well-being of older adults.
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