ATI RN
ATI nur 222a Mental Health Exam Questions
Question 1 of 5
A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?
Correct Answer: B
Rationale: The correct answer is B: Distract the clients by asking them to participate in an activity. This intervention should be used first because it aims to de-escalate the situation and shift the residents' focus away from the argument. It promotes social engagement and can help in diffusing tension. Asking the clients to participate in an activity can help redirect their energy towards a positive interaction, fostering a sense of cooperation.
Choice A is not the best option as separating them immediately may escalate the situation.
Choice C, sending both clients into seclusion, is isolating and may worsen their emotions.
Choice D, physically restraining both clients, should only be considered as a last resort for safety reasons.
Question 2 of 5
A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Schedule an appointment with a school-based counselor. This option is appropriate as it addresses the adolescent's mental health concerns by providing access to professional support and therapy to help cope with depression. A school-based counselor can offer counseling services tailored to the client's specific needs, including addressing the emotional impact of the recent move. The other choices are incorrect because: A: Obtaining a part-time job may not directly address the underlying cause of depression. C: Visiting a neurologist is not necessary unless there are specific medical concerns related to depression. D: Engaging in physical activity is beneficial but may not be sufficient to address the client's mental health needs.
Question 3 of 5
A nurse is caring for a client who has posttraumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for PTSD as it helps alleviate symptoms such as anxiety, depression, and intrusive thoughts. It is a first-line treatment for PTSD due to its effectiveness in managing the disorder's symptoms. Semaglutide is used for type 2 diabetes, Tramadol is a pain medication, and Zaleplon is a sleep aid. These medications are not indicated for PTSD and would not address the client's specific needs.
Question 4 of 5
A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?
Correct Answer: A
Rationale: The correct answer is A: It is a gene variant that increases the risk for development of a specific mental illness. Vulnerability genes are genetic variations that predispose individuals to the development of certain mental illnesses. This statement accurately reflects the role of vulnerability genes in increasing the likelihood of developing mental illness.
Choice B is incorrect because vulnerability genes do not relate to an individual's resilience to stress but rather to their susceptibility to mental illness.
Choice C is incorrect as vulnerability genes do not directly cause the development of mental illness but rather increase the risk.
Choice D is incorrect because vulnerability genes do not determine an individual's likelihood of recovery but rather their susceptibility to the illness itself.
Question 5 of 5
A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?
Correct Answer: D
Rationale: The correct answer is D because leaning away from the client can convey disinterest or discomfort. This nonverbal action may signal a lack of engagement in the conversation, which can negatively impact the nurse-client relationship. Maintaining an upright posture (
A) is professional and attentive. Sitting at a slight angle (
B) can indicate openness and engagement. Maintaining eye contact (
C) demonstrates active listening and interest in the client's concerns.
Therefore, D is the best choice as it indicates a lack of engagement compared to the other options.