ATI RN
Virtual ATI Mental Health Assessment Questions
Question 1 of 5
A nurse is deciding about the size of the group. The nurse determines that a large group would be best based on which of the following?
Correct Answer: D
Rationale: The correct answer is D because a large group is more effective for dealing with a specific issue due to the diversity of perspectives and experiences that can be shared. In a large group, there are more opportunities for brainstorming, problem-solving, and support. This leads to a richer discussion and more comprehensive exploration of the issue at hand. Choice A is incorrect because transference and countertransference issues can still arise in a large group setting. Choice B is incorrect as group cohesiveness may actually be harder to achieve in a larger group. Choice C is incorrect as a large group offers more potential interactions and relationships, not limited ones.
Question 2 of 5
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor. During an interview, the client's family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
Correct Answer: D
Rationale: The correct answer is D: Bathing Self-Care Deficit related to symptoms of schizophrenia. The priority nursing diagnosis should address the most immediate and essential need for the client's well-being. In this case, the client's disheveled appearance, uncombed and matted hair, and strange odor indicate a lack of self-care in terms of personal hygiene, specifically bathing. This can lead to physical health issues and negatively impact the client's self-esteem and social interactions. Addressing the bathing self-care deficit is crucial to improving the client's overall health and well-being. A: Ineffective Role Performance related to symptoms of schizophrenia - While this is a valid concern, addressing the client's basic self-care needs should take precedence over role performance. B: Social Isolation related to auditory hallucinations - While social isolation is important, the immediate focus should be on addressing the client's personal hygiene needs. C: Dysfunctional Family Processes related to psychosis - While involving the family is important, the priority
Question 3 of 5
A female client is diagnosed with panic disorder. The client tells the nurse that she hasn't left her house in more than a month because she was afraid of another attack. She visited the mental health clinic today only because her son brought her. Which nursing diagnosis would be a priority for this client?
Correct Answer: D
Rationale: The correct answer is D: Social Isolation related to fear of recurrence of anxiety symptoms. This is the priority nursing diagnosis for the client because her inability to leave the house due to fear of another panic attack has led to significant social isolation. This isolation can exacerbate her anxiety and impact her overall well-being. By addressing social isolation, the nurse can help the client reconnect with the community and support systems, which is crucial for managing panic disorder. Choice A (Powerlessness related to symptoms of anxiety) is incorrect because while the client may feel powerless, the immediate concern is the social isolation impacting her daily functioning. Choice B (Decisional Conflict related to fear of leaving the house) is incorrect as the client's issue is more about the consequences of not leaving the house rather than a decisional conflict. Choice C (Ineffective Family Coping related to symptoms of anxiety) is also incorrect as the focus should be on the client's own coping mechanisms and isolation rather than the family's coping strategies.
Question 4 of 5
The nurse is caring for a client with complex somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Depression. In complex somatic symptom disorder, individuals experience persistent, distressing physical symptoms without an underlying medical cause. Depression commonly coexists with this disorder due to the significant emotional distress and impact on daily functioning. The nurse would be alert for symptoms of depression such as persistent sadness, lack of interest in activities, changes in appetite or sleep, and feelings of worthlessness. Summary: - A: Depression is correct as it commonly coexists with complex somatic symptom disorder due to emotional distress. - B: Avoidant personality disorder is incorrect as it is a separate personality disorder characterized by avoidance of social interactions and feelings of inadequacy. - C: Delirium is incorrect as it is an acute confusional state with altered consciousness and attention. - D: Bipolar disorder is incorrect as it is a mood disorder characterized by episodes of mania and depression.
Question 5 of 5
The school nurse is caring for a 7-year-old child who has demonstrated a significantly lower-than-average score for mental age on standardized tests in reading. However, the child's IQ scores were within the average range. The nurse interprets this information as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Dyslexia. Dyslexia is a learning disorder that affects reading ability despite average intelligence. In this case, the child's significantly lower-than-average mental age in reading but average IQ scores indicate a specific difficulty with reading and language processing, which aligns with dyslexia. A: Communication disorder does not specifically address the reading difficulties. B: Attention deficit hyperactivity disorder does not directly relate to the child's reading challenges. C: Asperger syndrome is a developmental disorder primarily affecting social interaction and communication, not reading skills.