ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Middle insomnia. This is because the client waking up during the night and having trouble returning to sleep is characteristic of middle insomnia, which refers to difficulty maintaining sleep in the middle of the night. Initial insomnia (A) is difficulty falling asleep at the beginning of the night. Terminal insomnia (B) is early morning awakening with an inability to return to sleep. Hypersomnia (C) is excessive daytime sleepiness, which is not indicative of the client's symptoms. Therefore, the correct interpretation in this scenario is middle insomnia.
Question 2 of 5
A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?
Correct Answer: B
Rationale: The correct answer is B: 1 to 2 weeks. Sertraline is an antidepressant that can help with premature ejaculation. It typically takes 1 to 2 weeks for the medication to start showing effectiveness due to the need for the drug to reach a therapeutic level in the body. This time frame allows the client's body to adjust to the medication and for the serotonin levels to stabilize, resulting in improved control over ejaculation. Choices A (5 to 7 days), C (3 to 4 weeks), and D (6 to 8 weeks) are incorrect as they do not align with the typical onset of action for sertraline. A shorter time frame like 5 to 7 days is usually insufficient for the drug to reach therapeutic levels, while longer time frames like 3 to 4 weeks or 6 to 8 weeks exceed the typical onset of action for this medication.
Question 3 of 5
When assessing a client with dementia, the nurse identifies that the client is experiencing hallucinations. Based on the nurse's understanding of this disorder, which type of hallucination would the nurse expect as most common?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. In dementia, visual hallucinations are most common due to changes in the brain affecting perception. These hallucinations can be vivid and complex. Auditory hallucinations (choice A) are less common in dementia. Gustatory (choice C) and olfactory (choice D) hallucinations are even rarer and usually not associated with dementia. Visual hallucinations are often distressing for individuals with dementia and may require appropriate interventions for management.
Question 4 of 5
A client visits the emergency department after she was raped in her apartment. The nurse assesses the client's ability to adapt to the trauma by assessing her social support systems and which of the following?
Correct Answer: A
Rationale: The correct answer is A: Ability to effectively activate coping strategies. This is crucial in assessing the client's ability to adapt to trauma. Coping strategies help individuals manage stress and trauma effectively. By assessing the client's coping strategies, the nurse can determine how well the client is able to deal with the psychological impact of the rape. Choices B, C, and D are incorrect because they do not directly assess the client's ability to adapt to the trauma through coping strategies. Body image disturbance (B) may be a concern but is not the primary focus immediately after a traumatic event. The type of affect reflected in nonverbal communication (C) and the degree of fear response (D) are important but do not directly measure the client's coping abilities. Therefore, A is the most relevant choice for assessing the client's adaptation to trauma in this context.
Question 5 of 5
A nurse is caring for a client with GERD. Which of the following assessment findings should the nurse expect to find?
Correct Answer: C
Rationale: The correct answer is C: Atypical chest pain. This is because GERD often presents with symptoms such as burning sensation in the chest, which can be mistaken for cardiac chest pain. Shortness of breath (A) is not typically associated with GERD. Rebound tenderness (B) is a sign of peritonitis, not GERD. Vomiting blood (D) is a serious complication of GERD but not an expected assessment finding.