ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
A client diagnosed with panic disorder states, When an attack happens, I feel like I am going to die. Which is the most appropriate nursing reply?
Correct Answer: A
Rationale: Option A, "I know it's frightening, but try to remind yourself that this will only last a short time," is the most appropriate nursing reply. This response acknowledges the client's feelings of fear and impending doom during a panic attack while also providing reassurance that the attack is temporary. It validates the client's experience without dismissing the intensity of their emotions and offers a coping strategy to help manage the anxiety during an attack. This response shows empathy and understanding, which can help build trust with the client and foster a therapeutic relationship.
Question 2 of 5
A nursing student questions an instructor regarding the order for fluvoxamine (Luvox), 300 mg daily, for a client diagnosed with obsessive-compulsive disorder (OCD). Which instructor reply is most accurate?
Correct Answer: B
Rationale: The most accurate reply would be B. Selective serotonin reuptake inhibitor (SSRI) doses, in excess of what is effective for treating depression, may be required for obsessive-compulsive disorder (OCD). This is because higher doses of SSRIs are often needed to effectively treat OCD compared to depression. Fluvoxamine (Luvox) is an SSRI commonly used for OCD, and doses higher than those used for depression are often necessary to achieve therapeutic effects in OCD patients. Therefore, it is important for the instructor to explain to the nursing student that the dose of fluvoxamine (Luvox) for OCD at 300 mg daily is within the therapeutic range for treating OCD.
Question 3 of 5
How should a nurse best describe the major maladaptive client response to panic disorder?
Correct Answer: D
Rationale: The major maladaptive client response to panic disorder is clients developing compulsions to deal with anxiety. Panic disorder is a type of anxiety disorder characterized by unexpected and repeated episodes of intense fear accompanied by physical symptoms such as heart palpitations, shortness of breath, and dizziness. In an attempt to cope with the overwhelming anxiety associated with panic attacks, individuals may develop compulsions or rituals. These compulsions can vary widely and often serve as a way for the individual to try and regain a sense of control or alleviate their anxiety. This response is maladaptive because while the compulsions may provide temporary relief, they do not address the root cause of the anxiety and can contribute to the cycle of panic attacks.
Question 4 of 5
A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which of the following nursing interventions would address this clients symptoms? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Carly has been diagnosed with somatic symptom disorder. As the nurse is talking with Carly and her family, which of the following statements suggest primary or secondary gains that the physical symptoms are providing for the client?
Correct Answer: B
Rationale: This statement suggests that the physical symptoms Carly is experiencing may be serving as a secondary gain for her. Despite medical tests showing no evidence of a brain tumor, Carly's continued belief that her headaches are due to a serious condition could be providing her with a sense of significance or attention. This belief may also help her avoid dealing with underlying emotional issues or stressors, providing a psychological benefit as well. This points towards secondary gains related to the somatic symptom disorder.