ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?
Correct Answer: A
Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications.
Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.
Question 2 of 5
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced a major life crisis with which score on the questionnaire?
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire assigns a numerical value to different life events. Major life crises are associated with higher scores on the questionnaire. The correct answer is D (450) because it represents a significantly high score indicating a major life crisis.
Choices A, B, and C have lower numerical values, which do not reflect the severity of a major life crisis.
Therefore, D is the correct choice for identifying a major life crisis based on the Recent Life Changes Questionnaire.
Question 3 of 5
Termination of a therapeutic nurse–patient relationship has been successful when the nurse
Correct Answer: C
Rationale: The correct answer is C because discussing changes and evaluating outcomes with the patient is essential for closure and reflection on the therapeutic relationship. This process allows both the nurse and patient to reflect on progress made and set realistic expectations for the future. This promotes a sense of closure and empowerment for the patient.
Choice A is incorrect because avoiding upsetting the patient by shifting focus does not address the need for closure and reflection.
Choice B is incorrect because giving a personal telephone number blurs professional boundaries and may hinder the patient's ability to move on independently.
Choice D is incorrect because offering to meet the patient for coffee and conversation three times a week crosses professional boundaries and does not promote a healthy termination of the therapeutic relationship.
Question 4 of 5
A psychiatric-mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
Correct Answer: D
Rationale:
Step-by-step rationale for why answer D is correct:
1. Demonstrating appreciation and genuine interest in the individual and their cultural beliefs shows respect and empathy.
2. Building a therapeutic relationship based on understanding and valuing the patient's cultural background enhances trust.
3. Cultural competence involves recognizing and respecting diversity, which is exemplified by appreciating the patient's cultural beliefs.
4. By being genuinely interested in the individual's culture, the nurse can provide more individualized and effective care.
Summary:
Choice D is correct because it emphasizes the importance of appreciating and showing genuine interest in the individual and their cultural beliefs, which is essential for developing cultural competence.
Choices A, B, and C are incorrect because they do not focus on the individual's unique cultural background and may perpetuate stereotypes or assumptions.
Question 5 of 5
A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: A
Rationale: The correct answer is A: Interrupted Family Processes. This nursing diagnosis is most appropriate because the family's ability to engage in their usual supportive and nurturing roles has been disrupted due to the traumatic event of losing their belongings in a house fire. The parents' inability to help their children with homework reflects a disruption in their usual family functioning.
Choice B: Compromised Family Coping may seem relevant due to the family's current situation, but it does not specifically address the disruption in family processes caused by the house fire.
Choice C: Ineffective Family Therapeutic Regimen Management does not apply as the family is not currently receiving any therapeutic treatment that they are unable to manage.
Choice D: Caregiver Role Strain may be relevant if the parents were experiencing strain specifically related to caregiving responsibilities, but the primary issue in this scenario is the disruption in family processes rather than caregiver strain.