ATI RN
Mental Health ATI Practice Questions Questions
Question 1 of 5
A nurse is assessing a client who is presenting with symptoms of hallucinations and delusions. They have had these symptoms for a week. The client does not have a history of a mood disorder; they do not have any medical conditions or history of substance misuse. What is the client's most likely diagnosis?
Correct Answer: C
Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.
Question 2 of 5
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Correct Answer: C
Rationale: The correct answer is C: Advocacy. The nurses have fulfilled the role of advocacy by actively supporting and promoting the interests of persons diagnosed with mental illness through writing letters to their elected representatives in opposition to the bill that reduces funding for their care. Advocacy involves speaking up on behalf of others to influence decisions and policies that affect their well-being. Summary: A: Recovery - This choice is incorrect as recovery refers to the process of restoring health or functioning after an illness or injury, which is not the primary focus of the nurses' actions in this scenario. B: Attending - This choice is incorrect as attending typically refers to being present or participating in an event, which does not accurately describe the nurses' actions of writing letters to oppose the bill. D: Evidence-based practice - This choice is incorrect as evidence-based practice involves using current research and evidence to inform decision-making in healthcare, which is not the main role exhibited by the nurses in this scenario.
Question 3 of 5
A health care provider prescribed long-acting antipsychotic medication injections every 3 weeks at the clinic for a patient with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance?
Correct Answer: D
Rationale: The correct answer is D: The availability of transportation to the clinic. This is critical because the patient needs to physically get to the clinic every 3 weeks for the injection to ensure medication adherence. Without transportation, the patient may miss appointments, leading to nonadherence. Significant others' attitudes (A) may influence support but not transportation. Nutrition services (B) are important for overall health but not directly related to medication adherence. Trust between patient and nurse (C) is essential but doesn't address the practical issue of getting to the clinic.
Question 4 of 5
A black patient says to a white nurse, "There's no sense talking about how I feel. You wouldn't understand because you live in a white worl" The nurse's best action would be to
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Option B promotes active listening and encourages the patient to express their feelings further. 2. By asking for specific examples, the nurse shows genuine interest in understanding the patient's perspective. 3. This approach helps build trust and rapport, leading to better communication and a more effective therapeutic relationship. Summary of Other Choices: A: This response dismisses the patient's concerns and lacks empathy, which may lead to further feelings of isolation. C: While this response acknowledges diversity, it does not address the patient's specific feelings and may come across as deflecting the issue. D: Changing the subject avoids addressing the patient's concerns and may lead to a breakdown in communication and trust.
Question 5 of 5
A nurse is preparing a presentation about the current status of mental health services in the United States. Which statement would the nurse include as the most reflective of this status?
Correct Answer: D
Rationale: The correct answer is D: Mental health care services are inadequate and fragmented. This is the most reflective statement of the current status of mental health services in the United States. 1. Inadequate services: Many individuals face barriers in accessing mental health care due to factors such as cost, stigma, and lack of providers. 2. Fragmented services: The mental health care system in the U.S. is often disjointed, with gaps in service provision and coordination between different providers and agencies. 3. Lack of resources: There is a shortage of mental health professionals and funding for mental health services, further contributing to the inadequacy and fragmentation of care. Other choices are incorrect because: A: Mental health care is not equally accessible, as there are disparities in access based on factors like income and location. B: While mental illness is a significant cause of disability, this statement does not address the current status of mental health services. C: Mental health care focuses on a range of interventions, including