ATI RN
ATI Mental Health assessment Questions
Question 1 of 5
A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?
Correct Answer: B
Rationale: The correct answer is B: 12-step program. The nurse should recommend this because it provides ongoing support for individuals recovering from alcohol addiction. It involves admitting powerlessness over alcohol, seeking help from a higher power, making amends, and helping others. Reach to recovery (
A) is for cancer patients, Al-Anon (
C) is for families of alcoholics, and light therapy (
D) is not relevant to alcohol withdrawal.
Therefore, the 12-step program is the most appropriate choice for the client's recovery.
Question 2 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 3 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 4 of 5
A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?
Correct Answer: C
Rationale: The correct answer is C: Reluctance to discuss the event that precipitated the distress. This is expected in individuals with PTSD as they often avoid talking about or reliving the traumatic event. This avoidance behavior is a common symptom of PTSD and is included in the diagnostic criteria. Individuals with PTSD may experience intrusive thoughts or memories related to the trauma, which can be distressing and lead to avoidance behaviors. This manifestation is important for the nurse to assess as it can impact the client's ability to engage in therapy and treatment.
Explanation of other choices:
A: Decreased startle response to loud noises - This is not typically seen in individuals with PTSD, as they often have an exaggerated startle response due to hypervigilance.
B: Reports uninterrupted sleep of 10 to 12 hr each night - Sleep disturbances are common in PTSD, such as nightmares or difficulty falling asleep.
D: Reports feelings of acute distress that began to 2 weeks ago - PTSD symptoms must persist for more
Question 5 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.