ATI RN
ATI Mental Health Proctored Exam 2023
1. In a client's history, a significant indicator suggesting marginal coping skills and the need for careful risk assessment for violence is a history of
- A. childhood trauma.
- B. family involvement.
- C. academic problems.
- D. chemical dependence.
Correct answer: D
Rationale: A history of chemical dependence is a critical factor indicating marginal coping skills and the need for assessing the risk of violence. Substance abuse can impair judgment, increase impulsivity, and escalate the likelihood of violent behavior. It is essential to thoroughly evaluate and address substance abuse issues in clients to enhance treatment outcomes and ensure safety.
2. Luc's family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?
- A. Hypodermic needles
- B. Fast food wrappers
- C. Empty soda cans
- D. Energy drink containers
Correct answer: D
Rationale: Energy drink containers are often associated with exacerbating manic episodes due to their high caffeine content, which can worsen symptoms of agitation and restlessness.
3. Tatiana has been hospitalized for an acute manic episode. On admission, the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?
- A. Shortness of breath, gastrointestinal distress, chronic cough
- B. Ataxia, severe hypotension, large volume of dilute urine
- C. Gastrointestinal distress, thirst, nystagmus
- D. Electroencephalographic changes, chest pain, dizziness
Correct answer: B
Rationale: The correct answer is B. Ataxia, severe hypotension, and a large volume of dilute urine are classic signs of lithium toxicity. Ataxia refers to a lack of muscle coordination, severe hypotension indicates dangerously low blood pressure, and the large volume of dilute urine is a result of the kidneys' inability to concentrate urine properly, a common feature of lithium toxicity.
4. During pregnancy, a woman is in a relationship with a male who routinely abuses her. Her unborn child may engage in high-risk behavior as a teen as a result of:
- A. Maternal stress
- B. Parental nurturing
- C. Appropriate stress responses in the brain
- D. Memories of the abuse
Correct answer: A
Rationale: Maternal stress during pregnancy can have long-term effects on the child's behavior and stress responses. Research shows that exposure to high levels of stress hormones in the womb can influence the developing fetal brain and the child's future behavior, potentially leading to high-risk behaviors during adolescence.
5. 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.
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