ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
A client presents with psychotic symptoms: hallucinations, delusions, disorganized speech and behavior. They do not have medical comorbidities and do not use any substances. The signs have been present for five months. What diagnosis is suspected?
Correct Answer: C
Rationale: The correct diagnosis suspected in this case is C: schizophreniform disorder. This is because the client is experiencing psychotic symptoms such as hallucinations, delusions, disorganized speech, and behavior for a period of five months. Schizophreniform disorder is characterized by similar symptoms to schizophrenia but with a duration of at least one month but less than six months. Delusional disorder (A) involves persistent delusions without other psychotic symptoms. Brief psychotic disorder (B) lasts less than one month. Schizophrenia (D) requires symptoms to be present for at least six months.
Question 2 of 5
Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient
Correct Answer: B
Rationale: The correct answer is B because reporting consistently sad, discouraged, and hopeless mood is a key indicator of a mental illness, specifically depression. This finding suggests a persistent negative emotional state that goes beyond occasional sleeplessness and anxiety (choice A), the ability to describe differences in perceptions (choice C), or difficulty in making decisions related to job changes (choice D). The persistent nature of the mood described in choice B aligns more closely with symptoms of mental illness, indicating the need for further assessment and potential intervention.
Question 3 of 5
The nurse should refer which of the following patients to a partial hospitalization program? A patient who
Correct Answer: D
Rationale: The correct answer is D because the patient is expressing difficulty in avoiding alcohol use, which indicates a potential substance use disorder. Referral to a partial hospitalization program is appropriate for patients struggling with substance use issues as they require intensive treatment and support. Choice A is incorrect as the patient is compliant with lithium therapy. Choice B is incorrect as psychoeducation can be provided in outpatient settings. Choice C is incorrect as the patient needs immediate inpatient care due to active suicidal ideation.
Question 4 of 5
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's han The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
Correct Answer: A
Rationale: The correct answer is A. In many Hispanic subcultures, including Mexican American culture, touch is commonly used during conversation as a form of connection and warmth. This behavior is considered a cultural norm and a way to establish rapport. The patient's actions are likely not intended to manipulate the nurse or control the relationship, as suggested in choices B and D. Choice C assumes the patient's behavior is solely driven by fear of being alone, which may not be the case. Overall, the most accurate analysis is that the patient is accustomed to touch as a cultural norm within Hispanic subcultures, making choice A the correct answer.
Question 5 of 5
The following are important legislative and policy efforts influencing current mental health care. Which of the following is the most recent?
Correct Answer: A
Rationale: The correct answer is A: Mental Health: A Report of the Surgeon General, as it was published in 1999, making it the most recent compared to the other choices. The Surgeon General's report highlighted the importance of mental health and influenced policy changes. Explanation: 1. A is the most recent among the choices. 2. Published in 1999, addressing current mental health issues. 3. Emphasized the significance of mental health in policy-making. 4. Influenced subsequent legislative and policy efforts. Summary: B: New Freedom Commission on Mental Health was established in 2002, making it less recent. C: Action for Mental Health was published in 1961, making it the oldest choice. D: Mental Retardation Facilities and Community Mental Health Centers Construction Act was passed in 1963, predating the Surgeon General's report.