ATI RN
ATI Mental Health Proctored Exam 2023
1. A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to identify the symptoms present in a specific psychiatric disorder. The best answer would be:
- A. Nursing Interventions Classification (NIC)
- B. Nursing Outcomes Classification (NOC)
- C. NANDA-I nursing diagnoses
- D. DSM-5
Correct answer: D
Rationale: The DSM-5 is the standard classification of mental disorders used by mental health professionals in the U.S. It provides criteria for diagnosing different psychiatric disorders based on symptoms and clinical observations. Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) are focused on nursing interventions and outcomes, respectively, while NANDA-I nursing diagnoses are related to identifying nursing problems and their contributing factors.
2. When explaining one of the main differences between narcolepsy and obstructive sleep apnea syndrome, what should the nurse mention?
- A. Symptoms of the two diagnoses are essentially the same, making it difficult to differentiate between them.
- B. People with narcolepsy awaken from a nap feeling rested and replenished.
- C. People with obstructive sleep apnea syndrome can experience temporary paralysis during naps.
- D. Naps are contraindicated for clients with narcolepsy due to their association with catatonia.
Correct answer: B
Rationale: Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep, while obstructive sleep apnea syndrome involves the obstruction of the upper airway during sleep. One of the main differences is that people with narcolepsy often experience refreshing naps, feeling rested and replenished upon waking, which is not the case for obstructive sleep apnea syndrome. This distinction is important for healthcare providers to understand as it helps differentiate between these two sleep disorders.
3. How do epidemiological studies contribute to improvements in care for individuals with mental disorders?
- A. Providing information about effective nursing techniques.
- B. Identifying risk factors that contribute to the development of a disorder.
- C. Identifying individuals in the general population who will develop a specific disorder.
- D. Identifying which individuals will respond favorably to a specific treatment.
Correct answer: B
Rationale: Epidemiological studies play a crucial role in identifying risk factors associated with the development of mental disorders. By pinpointing these risk factors, healthcare providers can implement preventive measures and develop more effective treatments, ultimately leading to improved care for individuals with mental disorders.
4. Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication?
- A. Tricyclic antidepressants
- B. Selective serotonin reuptake inhibitors
- C. Serotonin and norepinephrine reuptake inhibitors
- D. Monoamine oxidase inhibitors
Correct answer: D
Rationale: Monoamine oxidase inhibitors dispensed as transdermal patches can be a safer option for patients with mild hypertension due to reduced systemic absorption compared to other forms of antidepressants, potentially minimizing cardiovascular effects associated with hypertension.
5. The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question shouldn't the team answer to determine whether a community outpatient or inpatient setting is most appropriate?
- A. Is the patient expressing suicidal thoughts?
- B. Does the patient have intact judgment and insight into his situation?
- C. Does the patient have experiences with either community or inpatient mental healthcare facilities?
- D. Does the patient require a therapeutic environment to support the management of psychotic symptoms?
Correct answer: C
Rationale: Assessing suicidal thoughts, judgment, insight, and the need for a therapeutic environment are crucial factors in determining the appropriate treatment setting for a patient experiencing psychotic symptoms. Past experiences with mental healthcare facilities do not play a direct role in deciding between a community outpatient or inpatient setting.
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