ATI RN
Mental Health Nursing ATI Exam Questions
Question 1 of 5
A nurse is preparing an in-service program for a group of psychiatric mental health nurses about schizophrenia. Which of the following would the nurse include as a major reason for relapse?
Correct Answer: C
Rationale: The correct answer is C: Non-adherence to prescribed medications. Non-adherence to medications is a major reason for relapse in schizophrenia due to the importance of medication in managing symptoms and preventing relapses. Lack of family support (A) can impact recovery but may not directly lead to relapse. Accessibility to community resources (B) is important for support but not a major reason for relapse. Stigmatization of mental illness (D) can affect treatment seeking behavior but is not a direct cause of relapse.
Question 2 of 5
A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following?
Correct Answer: B
Rationale: The correct answer is B: Munchausen's syndrome by proxy. This is a form of abuse where the caregiver fabricates or induces illness in someone under their care to gain attention or sympathy. In this scenario, the client's repeated attempts to harm the child for attention align with this syndrome. The other options do not fit the situation: A (Schizoid personality traits) doesn't involve intentional harm, C (Functional neurologic symptoms) is not related to fabricating illness in another, and D (Borderline personality disorder) doesn't typically involve this specific type of behavior.
Question 3 of 5
The nurse is preparing to initiate a behavioral treatment program for a child with encopresis. Which of the following would the nurse most likely implement first?
Correct Answer: B
Rationale: The correct answer is B: Bowel cleansing. This would most likely be implemented first because it helps to clear the colon of retained stool, which is essential in managing encopresis. By cleansing the bowel, it can help reset the child's bowel habits and reduce the likelihood of accidents. Administering mineral oil (choice A) may be used as a lubricant, but it does not address the underlying issue of fecal impaction. A low-fiber diet (choice C) is not recommended as it can exacerbate constipation. Toilet sitting after each meal (choice D) is important but may not be as effective if the colon is impacted with stool.
Question 4 of 5
A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority?
Correct Answer: D
Rationale: The correct answer is D: Suicide risk. This is the priority assessment because individuals with posttraumatic stress disorder, especially those who have experienced violence, are at increased risk for suicidal ideation and behaviors. Assessing suicide risk is crucial for ensuring the client's safety and implementing appropriate interventions. Nutritional status (A), hydration status (B), and sleep patterns (C) are also important assessments, but in this case, addressing the immediate risk of suicide takes precedence in order to prevent harm to the client.
Question 5 of 5
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
Correct Answer: B
Rationale: Correct Answer: B (Oliguria) Rationale: 1. Oliguria (decreased urine output) is a classic sign of decreased cardiac output due to poor perfusion to the kidneys. 2. Decreased cardiac output results in reduced blood flow to the kidneys, leading to decreased urine production. 3. Shivering is a common postoperative response, not directly related to cardiac output. 4. Bradypnea (slow breathing) and constricted pupils are not typical signs of decreased cardiac output.