ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
A nurse is performing an admission assessment. The patient complains that it has been taking larger and larger amounts of medication to get the desired effect. Based on this information, the nurse interprets this as suggesting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Tolerance. Tolerance refers to the body's reduced response to a drug over time, necessitating higher doses to achieve the same effect. In this scenario, the patient needing larger amounts of medication to achieve the desired effect indicates tolerance development. Desensitization (A) refers to reduced response due to receptor downregulation. Therapeutic index (C) is the ratio of a drug's effective dose to its toxic dose. Toxicity (D) is the harmful effects of a drug at excessive doses.
Question 2 of 5
The nurse is assessing a group of patients on an inpatient psychiatric unit. The patient's history for which of the following would the nurse identify as the strongest indicator of risk for violence?
Correct Answer: D
Rationale: The correct answer is D, violent behavior. This is the strongest indicator of risk for violence because past behavior is a significant predictor of future behavior. Patients with a history of violent behavior are more likely to exhibit violent tendencies in the future. Assessing for this history allows the nurse to implement appropriate interventions to prevent harm to self or others. Incorrect Choices: A: Panic disorder - Panic disorder is characterized by recurrent panic attacks and is not directly associated with an increased risk of violence. B: Problematic anxiety - While anxiety can contribute to agitation and irritability, it is not as strong of an indicator for violence compared to a history of violent behavior. C: Somatoform disorder - Somatoform disorder involves physical symptoms with no identifiable medical cause and is not typically associated with an increased risk of violence.
Question 3 of 5
A nurse is working with a group of clients diagnosed with schizophrenia in a community setting. Which of the following would least likely be a priority?
Correct Answer: C
Rationale: The correct answer is C: Managing psychosis. In a community setting, the priority is typically to support clients in functioning well in their daily lives and improving their overall well-being. While managing psychosis is important, it may not be the immediate priority as the focus is on holistic care, quality of life, instilling hope, and preventing relapse. Managing psychosis can be addressed through medication and therapy, but the primary goal in a community setting is to help clients live fulfilling lives and maintain stability.
Question 4 of 5
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, These pills are making me sick. I think I'm getting a brain tumor because of the headaches. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Rationale: 1. Correct Answer (D): This response educates the client about a potential side effect of the medication, linking headaches to fluoxetine. It addresses the client's concern directly and provides accurate information. 2. Incorrect Answer (A): Focusing on rituals doesn't address the client's specific complaint of headaches and brain tumor fears. 3. Incorrect Answer (B): Asking about hand washing is unrelated to the client's symptoms of headaches and brain tumor fears. 4. Incorrect Answer (C): Inquiring about relaxation exercises doesn't address the client's concern about medication side effects causing headaches.
Question 5 of 5
A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?
Correct Answer: B
Rationale: The nurse would identify option B as interfering with achievement because addressing overall issues can be overwhelming and vague, making it difficult to measure progress effectively. Stating outcomes in realistic terms (A) is important for setting achievable goals. Indicating small successes (C) allows for incremental progress tracking. Identifying outcomes for specific behaviors (D) helps in defining clear targets for intervention. In summary, option B lacks specificity and may hinder the client's progress by not providing clear direction for goal attainment.