ATI RN
ATI Mental Health Assessment I Questions
Question 1 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a structured schedule of daily activities. This is essential for clients with OCD as it helps establish routine and predictability, reducing anxiety and providing a sense of control. Structured activities can help distract the client from obsessive thoughts and compulsive behaviors.
Choice A is incorrect because detailed explanations may overwhelm the client with OCD.
Choice B is incorrect as a stimulating environment can exacerbate symptoms.
Choice D is incorrect as limiting time for rituals can increase anxiety and reinforce compulsive behaviors.
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 home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates active listening and empathy by acknowledging the client's concerns and offering to discuss solutions collaboratively.
Choice A is incorrect as it suggests a potentially harmful solution.
Choice B dismisses the client's feelings.
Choice C assumes the client has a family member available. Overall, choice D promotes a therapeutic nurse-client relationship by addressing the client's needs and involving them in the decision-making process.
Question 4 of 5
A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: These clients can vote in local and federal elections. Involuntary admission does not strip individuals of their right to vote. This is a fundamental right granted to all citizens, even those who are involuntarily admitted. Providing education on this aspect is important to ensure that the rights of clients are respected and upheld.
Explanation of incorrect choices:
A: This choice is incorrect because the inspection of packages by security does not pertain to the rights of involuntarily admitted clients.
B: The consideration for a research study is unrelated to the rights of involuntarily admitted clients.
D: While involuntary admission may impact the autonomy of decision-making related to treatment, clients still have the right to refuse medications within the bounds of legal and ethical guidelines.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
Correct Answer: B
Rationale: The correct answer is B: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used as a first-line treatment for major depressive disorder due to its efficacy and tolerability. It helps increase serotonin levels in the brain, improving mood. Midazolam is a benzodiazepine used for anxiety or sedation, not depression. Cyclobenzaprine is a muscle relaxant, not indicated for depression. Valproic acid is typically used for seizure disorders or bipolar disorder, not major depressive disorder. In summary, fluoxetine is preferred for its effectiveness in treating depression, while the other options are not appropriate for this diagnosis.