ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?
Correct Answer: A
Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications. Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.
Question 2 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.
Question 3 of 5
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
Correct Answer: B
Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.
Question 4 of 5
The emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: The correct answer is C because it uses non-judgmental language to express concern and invites the client to share their experience voluntarily. It acknowledges the possibility of abuse without assuming the cause of the injuries. This approach promotes trust and open communication, allowing the client to disclose information at their own pace. Choice A is incorrect as it uses vague language and may not directly address the issue of abuse. Choice B is incorrect as it assumes the cause of the injuries and places blame on the husband without gathering facts. Choice D is incorrect as it focuses on the perpetrator rather than the client's experience, potentially making the client feel uncomfortable or defensive.
Question 5 of 5
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Keep the cord dry until it falls off. This is the correct instruction for cord care as it helps prevent infection. Keeping the cord dry creates an environment that is less conducive to bacterial growth. Moisture can lead to bacterial growth and increase the risk of infection. By keeping the cord clean and dry, the parent can help promote healing and prevent complications. The other choices are incorrect: A: Contact provider if the cord still turns black - The cord naturally darkens and dries up as it heals, so it turning black is a normal part of the healing process. B: Clean the base of the cord with hydrogen peroxide daily - Hydrogen peroxide can be too harsh and may delay healing. Using a neutral pH cleanser is a better choice for cord care. D: The cord stump will fall off in five days - The cord typically falls off between 10-14 days after birth, so this instruction is inaccurate and may lead to unrealistic expectations.