ATI RN
ATI Mental Health assessment Questions
Question 1 of 5
A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because clients who are admitted involuntarily still have the right to refuse therapy. This is essential in respecting their autonomy and ensuring their well-being.
Choice A is incorrect because even voluntary clients have the right to request discharge, although it may not always be granted immediately.
Choice C is incorrect as clients, whether voluntary or involuntary, can refuse medications after being informed about the risks and benefits.
Choice D is incorrect as voluntary clients have the right to withdraw consent at any time.
Question 2 of 5
A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?
Correct Answer: A
Rationale: The correct answer is A: Dissociation. This defense mechanism involves a temporary disruption in consciousness or memory, often to cope with trauma. In the case of a client with PTSD who cannot recall details of the assault, dissociation helps the individual distance themselves from the traumatic event. Rationalization (
B) involves justifying behaviors, which is not applicable here. Undoing (
C) is a defense mechanism where a person tries to reverse or negate a previous action, irrelevant in this scenario. Reaction formation (
D) is when one displays the opposite of their true feelings, not relevant to memory recall in PTSD.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: A
Rationale: The correct answer is A: The client has a serotonin deficiency. Serotonin is a neurotransmitter linked to mood regulation, and a deficiency can contribute to the development of major depressive disorder. Serotonin imbalance is a well-known risk factor for depression.
Choices B, C, and D are not directly related to major depressive disorder. Acute bronchitis and elevated calcium levels do not have a direct association with depression. Being an only child is also not a recognized risk factor for major depressive disorder.
Therefore, option A is the most relevant and plausible risk factor for major depressive disorder in this scenario.
Question 4 of 5
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
Correct Answer: B
Rationale:
Correct
Answer: B. Ensure the client's ex-partner is notified of the threat.
Rationale: The nurse has a legal duty to protect potential victims by notifying the ex-partner to prevent harm. This action upholds the duty to warn principle, safeguarding the well-being of others. Keeping the client hospitalized indefinitely (
A) is not ethically sound and violates the client's rights. Asking a friend or family member to monitor the client (
C) may not ensure the ex-partner's safety. Transfer to a mental health facility (
D) may be necessary but does not directly address the immediate threat.
Question 5 of 5
A nurse in an acute care facility is assessing a client who has schizophrenia. The client states,Walk tall broom short dag bell. The nurse should document the client's speech as which of the following speech patterns?
Correct Answer: B
Rationale: The correct answer is B: Word salad. This speech pattern is characterized by jumbled and incoherent words that do not form logical sentences. In this case, the client's speech is a mixture of unrelated words, indicating disorganized thinking commonly seen in schizophrenia. Flight of ideas (
A) involves rapid, continuous, and disconnected thoughts. Neologisms (
C) are newly created words that have meaning only to the client. Clang associations (
D) are words grouped together based on their sound rather than meaning. These options do not align with the client's speech pattern of word salad.