ATI RN
ATI Mental Health Exam f24 Questions
Question 1 of 5
When providing care to a client diagnosed with a mental disorder, the client asks the nurse, 'Does mental illness run in your family?' Which response by the nurse would be nontherapeutic?
Correct Answer: D
Rationale: The correct answer is D because it shifts the focus from the client to the nurse's personal experience, which is nontherapeutic. The nurse's response should be client-centered, empathetic, and focused on the client's needs. Option A is therapeutic as it acknowledges the client's question and shares relevant professional experience. Option B is also therapeutic as it redirects the conversation back to the client. Option C is therapeutic as it reflects understanding and validation of the client's concerns. In contrast, option D is nontherapeutic as it overshadows the client's needs with the nurse's personal disclosure.
Question 2 of 5
When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?
Correct Answer: A
Rationale: The correct answer is A: Feelings. In the biopsychosocial model, the psychological domain focuses on understanding the individual's emotional experiences, such as mood, thoughts, and behaviors. By addressing the client's feelings, the nurse can gain insights into their mental health status and provide appropriate interventions. Cultural groups (
B) pertain to the sociocultural domain, family functioning (
C) falls under the social domain, and sleep patterns (
D) are part of the biological domain. These options are not directly related to the psychological domain, making them incorrect in this context.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for the past few weeks. During group therapy, the nurse notes that the client is getting up and pacing around the room. The client is cooperative. Upon further evaluation, the client says, 'I just need to move around, but I feel fine.' Which of the following is the client experiencing?
Correct Answer: B
Rationale: The client is experiencing akathisia, which is characterized by restlessness and a compelling need to move. This can be a side effect of first-generation antipsychotic medications. The client's behavior of getting up and pacing around the room aligns with the symptoms of akathisia. The client's statement of feeling fine but needing to move suggests an inner restlessness rather than a physical discomfort. Neuroleptic malignant syndrome presents with fever, muscle rigidity, and altered mental status, which are not exhibited by the client. Tardive dyskinesia involves involuntary movements of the face and limbs, which are not observed in this scenario. Impaired ability to regulate body temperature is not relevant to the client's behavior.
Therefore, the correct answer is B: Akathisia.
Question 4 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.
Question 5 of 5
A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)
Correct Answer: A,C,D
Rationale: The correct pieces of equipment for ECT are A, C, and D. A nurse should set up an EEG monitor to monitor brain activity, a cardiac monitor to monitor heart rhythm, and a blood pressure monitor to monitor blood pressure changes during the procedure. These equipment are essential for assessing the patient's response and ensuring their safety. The ophthalmoscope (
B) is not necessary for ECT. The portable X-ray machine (E) is also not required as it is not used in ECT procedures.