ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 2 of 5
A parent of a three-year-old child with ASD has called the local school district to inquire about resources available to support her child. The child's pediatrician referred the mother to the school district. What information can the school nurse share about the primary source of support at this age?
Correct Answer: B
Rationale: The correct answer is B: "Your child may be eligible to attend a developmental preschool program." At the age of three, children with ASD can benefit from early intervention services provided by developmental preschool programs to support their learning and social skills development. These programs offer specialized support tailored to the child's needs. Choice A is incorrect as early intervention programs are typically coordinated by the local school district, not the state directly. Choice C is incorrect as children with ASD can receive services before kindergarten. Choice D is incorrect as it is the responsibility of the school district to provide appropriate support services for children with disabilities.
Question 3 of 5
After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child's motor activity? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hyperalertness. Motor activity refers to physical movements and energy levels. Hyperalertness indicates increased arousal and responsiveness, which can manifest as fidgeting, restlessness, or excessive movement. This is a direct indicator of the child's motor activity. A: Favorite story, Huckleberry Finn - This choice is related to cognitive function and interests, not motor activity. B: Short attention span - This choice is related to cognitive function and focus, not motor activity. D: Went to the park last weekend - This choice is related to past events and activities, not current motor activity.
Question 4 of 5
A client on an inpatient psychiatric unit has pressured speech and flight of ideas and is extremely irritable. During an intake assessment, which is the most appropriate nursing response?
Correct Answer: C
Rationale: The correct answer is C because it focuses on exploring the reason for the client's hospitalization, which is essential in understanding their current mental state. This response acknowledges the client's feelings and concerns, leading to a therapeutic relationship. Choice A does not address the immediate needs of the client. Choice B is too broad and does not guide the client towards discussing the relevant issues. Choice D does not facilitate a deeper exploration of the client's condition and may encourage the client's pressured speech without addressing the underlying issues.
Question 5 of 5
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.