ATI RN
ATI Mental Health Exam f24 Questions
Question 1 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, which is a key characteristic of self-mutilation. Self-mutilation is common in individuals with bipolar disorder as a way to cope with emotional pain.
A: Illusion refers to a misinterpretation of stimuli, not relevant in this context.
B: Hallucination involves perceiving something that is not present, which is not indicated in the scenario.
C: Attention-seeking behavior is not the primary concern here; the client's statement suggests a deeper issue.
E, F, G: No additional choices provided.
In summary, the client's statement indicates a risk for self-harm, making self-mutilation the most appropriate concern in this situation.
Question 2 of 5
A nurse is explaining advance care directives, or 'living wills,' to a client and the client's spouse. Which detail would the nurse include in the description of an advance care directive?
Correct Answer: A
Rationale: The correct answer is A because advance care directives, or 'living wills,' specify the client's preferences for medical treatment in case they become unable to communicate their wishes. This document outlines what treatments should be provided or withheld based on the client's expressed desires. This empowers the client to have control over their medical care even when they cannot actively participate in decision-making.
Choices B, C, and D are incorrect because a living will does not require an attorney to be present when signing, an attorney does not necessarily draw up the papers, and a physician is not always required as a witness.
Question 3 of 5
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Correct Answer: D
Rationale: The correct answer is D: "I am unable to acknowledge whether or not your employee is a client on this unit." This response is appropriate because it maintains the client's confidentiality by neither confirming nor denying their presence on the unit. By not disclosing this information, the nurse upholds the client's right to privacy and prevents any potential breach of confidentiality.
Choice A is incorrect because it involves sharing confidential information without the client's consent.
Choice B is incorrect because it implies that the employer can receive the information once the client gives consent, which may not be appropriate in this case.
Choice C is incorrect because it flatly refuses to share any information, which could be seen as obstructive.
Overall, choice D is the most appropriate response as it prioritizes the client's confidentiality while still providing a professional and non-disclosing answer to the employer.
Question 4 of 5
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Correct Answer: A
Rationale: The correct answer is A: Countertransference. Countertransference occurs when a healthcare provider projects their own unresolved feelings or experiences onto a client. In this scenario, the nurse is transferring their emotions about their own grandparents onto the client, which can impact their ability to provide unbiased care. Empathy (
B) involves understanding and sharing the client's feelings without losing professional boundaries. Transference (
C) is when the client projects their feelings onto the healthcare provider. Modeling (
D) is when the client imitates the behavior of the healthcare provider.
Question 5 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: A,E
Rationale: The correct answer is A (Anhedonia) and E (Blunt affect). Negative symptoms of schizophrenia involve deficits in normal emotional responses and behaviors. Anhedonia is the inability to experience pleasure, while blunt affect refers to a lack of emotional expression. Hallucinations (
B) and delusions (
D) are positive symptoms characterized by distorted perceptions and beliefs. Poor judgment (
C) is not specific to negative symptoms but can be seen in various mental health conditions.
Therefore, choices B, C, and D are incorrect for this question.