ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?
Correct Answer: C
Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.
Question 2 of 5
While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?
Correct Answer: A
Rationale: The most appropriate statement is "This must be scary for you" (A) because it acknowledges the patient's feelings of isolation and anxiety, showing empathy and validation. This helps build rapport and trust with the patient. Choice B is dismissive and minimizes the patient's feelings. Choice C implies the nurse fully understands, which may not be true. Choice D puts the responsibility on the patient to calm down before help is offered, which can escalate the situation.
Question 3 of 5
The nurse is caring for a client who was just admitted with a diagnosis of schizoaffective disorder with depression. Which agent would the nurse anticipate as being prescribed for this client?
Correct Answer: D
Rationale: The correct answer is D: Clozapine. Clozapine is commonly prescribed for schizoaffective disorder with depression due to its effectiveness in managing both psychotic symptoms and mood disturbances. It is known for its unique ability to target both dopamine and serotonin receptors. A: Lithium is primarily used to treat bipolar disorder, not schizoaffective disorder with depression. B: Haloperidol is an antipsychotic medication more commonly used for treating schizophrenia. C: Chlorpromazine is an older antipsychotic medication that is not typically first-line for schizoaffective disorder with depression. In summary, Clozapine is the most suitable choice due to its dual action on psychotic symptoms and mood stabilization in schizoaffective disorder with depression, making it the most appropriate option among the choices provided.
Question 4 of 5
A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?
Correct Answer: C
Rationale: The correct answer is C: Participating in relationships in which the client has control. In borderline personality disorder, individuals often struggle with issues of control and impulsivity. They may seek relationships where they can exert control to manage intense emotions and fear of abandonment. This behavior is a common manifestation of the disorder. Choices A and B are less likely as individuals with borderline personality disorder may have difficulties with group participation and openly expressing feelings due to fear of rejection or abandonment. Choice D is incorrect as individuals with this disorder often struggle with personal boundaries and may violate them in relationships.
Question 5 of 5
A nurse is preparing a presentation on sleep disorders for a community group. Which of the following would the nurse include when explaining the differences between narcolepsy and obstructive sleep apnea syndrome?
Correct Answer: B
Rationale: Step 1: Narcolepsy is a neurological disorder characterized by excessive daytime sleepiness and sudden episodes of sleep. Obstructive sleep apnea syndrome is a condition where breathing repeatedly stops and starts during sleep. Step 2: People with narcolepsy awaken from sleep feeling unrefreshed, not rested and replenished as mentioned in choice B. Step 3: On the other hand, individuals with obstructive sleep apnea syndrome often wake up feeling tired due to disrupted sleep from breathing pauses. Step 4: Therefore, the statement in choice B correctly contrasts the post-nap feelings of individuals with narcolepsy and obstructive sleep apnea syndrome. Step 5: Choices A, C, and D are incorrect as they do not accurately differentiate between the two disorders and may mislead the audience.