ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents?
Correct Answer: B
Rationale: The correct answer is B: Adolescents mourn by talking about the loss. This is because adolescents tend to process their grief by verbalizing their feelings and thoughts. Adolescents are typically more vocal about their emotions and seek support through communication. This contrasts with children who may view death as reversible (A), adults who may need repeated explanations to understand the loss (C), and adults who may feel pressured by a time limit for socially acceptable grieving (D). Talking about the loss helps adolescents express their emotions and cope effectively with their grief.
Question 2 of 5
The nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal behavior. In delusional disorder, individuals typically exhibit normal behavior aside from their fixed false beliefs (delusions). Delusions are the key characteristic of this disorder, while cognitive impairment (A) is not a defining feature. Labile affect (C) refers to unstable emotions, which are not typically seen in delusional disorder. Evidence of motor symptoms (D) is more indicative of neurological conditions rather than delusional disorder. Hence, the nurse can expect the client to display normal behavior during the interview.
Question 3 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.
Question 4 of 5
A group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following?
Correct Answer: A
Rationale: The correct answer is A because sleep patterns are not constant across the lifespan. Sleep patterns change with age, with newborns sleeping the most and older adults typically experiencing changes in their sleep patterns. This is important for nursing students to understand to provide appropriate care. Choice B is correct because women do tend to report more problems with sleep compared to men due to hormonal fluctuations and other factors. Choice C is correct as working night shifts and sleeping during the day can disrupt the body's natural circadian rhythm, affecting sleep patterns. Choice D is correct as environmental influences on sleep can include factors such as noise, light, temperature, and stress, which can impact the quality of sleep.
Question 5 of 5
The nurse is caring for a client diagnosed with delirium who has been brought for treatment by his son. While taking the client's history, which question would be most appropriate for the nurse to ask the client's son?
Correct Answer: A
Rationale: The correct answer is A: "Has your father taken any medications recently?" This question is most appropriate because delirium can be caused by medication side effects. By asking about recent medications, the nurse can gather important information to help identify potential causes of the client's delirium. Summary of other choices: B: "Are you aware of your father falling or injuring his head in any way?" - This question focuses on physical trauma, which may not necessarily be related to the client's delirium. C: "Has your father had a recent stroke?" - While a stroke can cause delirium, assuming a stroke without evidence may lead to incorrect assessment and treatment. D: "Has your father experienced any major losses recently?" - This question is more related to emotional stressors and may not directly address the potential medical causes of delirium.