ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
A client with schizophrenia tells the nurse, 'I'm being watched constantly by the FBI because of my job.' Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct response is B: "It must be frightening to feel like you're always been watched." This response validates the client's feelings without challenging the delusion directly. It shows empathy and builds rapport. Choice A may inadvertently reinforce the delusion. Choice C denies the client's experience and may lead to resistance. Choice D uses clinical jargon and may be too direct, potentially causing the client to become defensive.
Question 2 of 5
A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client?
Correct Answer: C
Rationale: The correct answer is C: Developing the therapeutic relationship. In complex somatic symptom disorder, patients often have difficulty trusting healthcare providers and may resist treatment. Developing a therapeutic relationship requires patience, empathy, and understanding. It is crucial for effective care as it allows the nurse to address the underlying psychological issues contributing to the somatic symptoms. Pain management (choice A) and anxiety relief (choice B) are important but may be more straightforward compared to building trust and rapport. Monitoring treatment (choice D) is essential but can be done effectively once a therapeutic relationship is established.
Question 3 of 5
An 80-year-old client visits the mental health clinic with her daughter. During the assessment process, the client tells the nurse that she is taking an antidepressant, an antibiotic, and an occasional aspirin. Which question would be most important for the nurse to ask?
Correct Answer: A
Rationale: The correct answer is A: "How much grapefruit juice do you drink on a daily basis?" This is because grapefruit juice can interact with certain medications, including antidepressants, antibiotics, and aspirin, leading to potentially serious side effects. Grapefruit juice inhibits the enzyme CYP3A4, which can increase the concentration of these medications in the bloodstream, causing adverse effects. Therefore, it is crucial for the nurse to ask about grapefruit juice consumption to assess the risk of drug interactions. Choices B, C, and D are incorrect because orange juice, tomato juice, and grape juice do not have significant interactions with the mentioned medications. While it is important to consider overall dietary habits, grapefruit juice specifically has a known interaction with many medications, making it the most critical question to ask in this scenario.
Question 4 of 5
A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked?
Correct Answer: D
Rationale: The correct answer is D (ages 18 to 24 years Women) because young women in this age group are statistically at the highest risk of being stalked. Factors such as increased social media use, dating relationships, and independence make them vulnerable. They may also be more likely to encounter obsessive behaviors from current or former partners. Choice A (Boys and young men) is less likely as stalking affects women more frequently. Choice B (ages 12 to 21 years Men) is less likely as younger age groups are generally at a lower risk. Choice C (ages 24 to 28 years) is less likely as the risk tends to decrease slightly as individuals get older.
Question 5 of 5
A nurse in a mental health facility receives a change of shift report on four clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: A
Rationale: The correct answer is A because a client placed in restraints due to aggressive behavior poses an immediate safety concern that requires urgent assessment to prevent harm to the client or others. Assessing this client first ensures their immediate well-being. Choice B may indicate a potential health issue but does not pose an immediate safety threat, so it can be assessed after addressing the client in restraints. Choice C, a client receiving PRN medication for anxiety, may require assessment but does not present the same level of urgency as a client in restraints. Choice D, a client receiving ECT treatment, is important but not as urgent as the client in restraints. It can be assessed after addressing the immediate safety concern.