ATI RN
ATI Mental Health Assessment I Questions
Question 1 of 5
A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: The correct answer is B: Histrionic. Histrionic personality disorder is characterized by attention-seeking behavior, including being flirtatious and seductive. Individuals with histrionic personality disorder often seek reassurance and approval from others through overly dramatic emotions and behaviors.
A: Paranoid personality disorder is characterized by mistrust and suspicion of others.
C: Narcissistic personality disorder involves a grandiose sense of self-importance and a lack of empathy for others.
D: Antisocial personality disorder is characterized by a disregard for the rights of others and a lack of remorse for harmful actions.
In this scenario, the client's attention-seeking, flirtatious, and seductive behaviors align most closely with the characteristics of histrionic personality disorder.
Question 2 of 5
A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
Correct Answer: D
Rationale: The correct answer is D: A client who has somatic symptom disorder. Assertiveness training would be beneficial for this client to help them express their needs and concerns effectively, as individuals with somatic symptom disorder often struggle with communicating their emotions and managing stress.
A: A client with new-onset delirium may not be able to fully participate or benefit from assertiveness training due to altered mental status.
B: A client experiencing auditory hallucinations may require interventions focused on managing hallucinations rather than assertiveness training.
C: A client experiencing mania may not be in a state conducive to learning and practicing assertiveness skills effectively.
Question 3 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 should be included in the teaching because ECT involves passing electrical currents through the brain to induce a controlled seizure, which is done by placing electrodes on the patient's head. This is crucial information for the client to understand the procedure.
Choices A, C, and D are incorrect because ECT can be used in clients with psychotic symptoms, suicidal ideation, and is not always conducted under regional anesthesia. These misconceptions could lead to confusion and unnecessary anxiety for the client.
Question 4 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Bradypnea, or slow breathing, is a serious side effect of hydromorphone, indicating potential respiratory depression which can be life-threatening. This finding should be reported immediately to the provider for prompt intervention to prevent respiratory failure.
A: Urinary retention is a common side effect of diazepam but not typically urgent.
B: Blurred vision is a common side effect of diazepam but is not as urgent as potential respiratory depression.
C: Headache is not typically a priority finding compared to potential respiratory depression.
Overall, the priority is to address the potentially life-threatening side effect of bradypnea in a client taking hydromorphone.
Question 5 of 5
A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
Correct Answer: A
Rationale: The correct answer is A: A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error. This scenario represents an unintentional tort known as negligence. Negligence occurs when a healthcare provider fails to adhere to the standard of care, resulting in harm to the patient. In this case, the nurse's failure to clarify the prescription demonstrates a lack of due diligence, which led to a medication error. This is considered unintentional because the nurse did not intentionally harm the client but acted carelessly.
Summary of other choices:
B: Posting private information violates patient confidentiality, which is an intentional tort.
C: Placing a client in restraints without a prescription is a violation of the client's rights and can lead to physical harm, making it an intentional tort.
D: Threatening a client with physical harm is an intentional act and constitutes assault, an intentional tort.