ATI RN
ATI Practice Questions Mental Health Questions
Question 1 of 5
A nurse is reviewing the medical record of a patient who has attempted suicide. Which of the following would the nurse identify as relating to a psychological cause?
Correct Answer: B
Rationale: The correct answer is B: Cluster B personality disorder. This is because personality disorders are deeply ingrained patterns of behavior that cause distress or impairment. Cluster B includes disorders characterized by dramatic, emotional, or erratic behavior, such as borderline, narcissistic, histrionic, and antisocial personality disorders. Individuals with Cluster B personality disorders may have underlying psychological issues that contribute to suicidal behavior. A: While a history of childhood trauma can certainly contribute to suicidal ideation, it is not specifically related to a psychological cause in the context of this question. C: Social isolation can be a risk factor for suicide, but it is not a direct psychological cause. D: Suicide contagion refers to the phenomenon where exposure to suicide or suicidal behavior influences others to attempt suicide. It is not a psychological cause but rather a social factor.
Question 2 of 5
The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan?
Correct Answer: D
Rationale: The correct answer is D: Setting realistic goals. This is crucial for clients with anorexia nervosa as they often have distorted perceptions of their bodies and unrealistic weight loss goals. Setting achievable and healthy goals is essential for recovery. A: Knowing the calorie content of numerous foods may reinforce obsessive behavior and further exacerbate the client's eating disorder. B: Learning strategies to control impulses may not address the underlying psychological issues contributing to anorexia nervosa. C: Describing physiologic consequences of anorexia nervosa may be important for understanding the severity of the condition, but it may not directly help the client in their recovery process.
Question 3 of 5
A nurse is preparing to interview a 4-year-old preschooler. Which of the following would be most effective to use for the assessment?
Correct Answer: B
Rationale: The correct answer is B: Play materials such as blocks. This method is most effective for assessing a 4-year-old preschooler as it allows the child to communicate through play, which is developmentally appropriate and engaging. Play materials help the child express themselves, display their emotions, and provide insight into their thoughts and behaviors. Direct, simple questions (A) may not be as effective as children at this age may have limited verbal abilities. Using a Pediatric anxiety rating scale (C) or Children's Depression Inventory (D) is not suitable for this age group as they may not understand the concepts being assessed, leading to inaccurate results.
Question 4 of 5
The nurse is planning a presentation for a group of mental health care providers on the topic of co-occurring disorders. The nurse plans to include information about health care providers and their response to these clients. Which of the following would the nurse include as a major reason for these clients being often underserved and undertreated?
Correct Answer: D
Rationale: Step 1: Individuals with co-occurring disorders have complex needs, requiring providers to prioritize which issue to address first. Step 2: Difficulty in determining which problem is in most immediate need can lead to undertreatment of one or both disorders. Step 3: This can result in clients being underserved and not receiving the comprehensive care they require. Step 4: Option A is incorrect because not all providers focus solely on 12-step programs; Option B is incorrect as underdiagnosing personality disorders is not the main reason for underserving co-occurring clients; Option C is incorrect as providers are aware of concurrent mental health disorders but may struggle with prioritization. Step 5: Therefore, the correct answer is D as it highlights the critical issue of determining immediate treatment needs for clients with co-occurring disorders.
Question 5 of 5
In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who:
Correct Answer: A
Rationale: The correct answer is A because describing hearing God's voice speaking can be perceived as a symptom of auditory hallucinations, which is commonly associated with mental illness. This could lead to a diagnosis of conditions like schizophrenia. Choice B is incorrect because being pessimistic and striving to meet personal goals does not inherently indicate mental illness. Choice C is incorrect as being wealthy and generous does not align with typical signs of mental illness. Choice D is incorrect because having an optimistic viewpoint and meeting one's own needs are generally positive traits that do not indicate mental illness.