ATI RN
ATI Mental Health assessment Questions
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse,"Give me your pen to cut the pain out of my chest. The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Self-mutilation. The client's statement indicates a desire to physically harm themselves to relieve emotional pain, which is a common behavior in individuals with bipolar disorder. Self-mutilation is a serious risk in such cases.
Choice A, Illusion, involves misinterpretation of stimuli, not self-harm.
Choice B, Hallucination, is a false sensory perception, not self-injury.
Choice C, Attention-seeking behavior, does not address the client's underlying distress.
Question 3 of 5
A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?
Correct Answer: C
Rationale: The correct answer is C: Memory deficit. ECT can cause short-term memory loss due to the electrical stimulation affecting the brain's functioning. The nurse should monitor the client for any signs of memory impairment post-treatment. Voice alteration (
A), neck pain (
B), and headache (
D) are less common adverse effects of ECT compared to memory deficits. It is crucial for the nurse to focus on closely monitoring the client for memory deficits as it is a prominent concern associated with ECT.
Question 4 of 5
A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: ECT is delivered through electrodes attached to the head. This statement is essential to include in the teaching because it accurately describes how ECT is administered. Electrodes are placed on the patient's scalp to deliver electrical impulses to the brain, inducing a seizure. This process is crucial for the therapeutic effects of ECT.
Choice A is incorrect because ECT can be used in clients with psychotic symptoms, especially if medication has not been effective.
Choice C is incorrect because ECT can be considered for clients with suicidal ideation, particularly in severe cases where rapid intervention is needed.
Choice D is incorrect because ECT is typically conducted under general anesthesia, not regional anesthesia.
Question 5 of 5
A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Answer B is correct because establishing a consistent wake-up time helps regulate the client's circadian rhythm, promoting better sleep. Waking up at the same time each morning helps set the body's internal clock, improving sleep quality. This routine can also enhance the client's overall well-being and cognitive function.
Option A is incorrect because black tea contains caffeine, which can disrupt sleep. Option C may be beneficial during the day but may not directly address sleep disturbances. Option D allowing a long nap after lunch could interfere with the client's ability to fall asleep at night.