ATI RN
Mental Health Practice A ATI Questions
Question 1 of 5
A patient receiving an antipsychotic agent develops acute extrapyramidal symptoms. Which response by the nurse would be most appropriate?
Correct Answer: C
Rationale: The most appropriate response by the nurse is C: "These are the results of the drug that can be treated; your illness is not getting worse." This response acknowledges the side effects of the antipsychotic medication (extrapyramidal symptoms) while reassuring the patient that these symptoms can be managed without indicating a worsening of their condition. It demonstrates empathy, provides accurate information, and offers hope for improvement. Explanation of other choices: A: This response is dismissive and invalidates the patient's experience, which can be harmful to the therapeutic relationship. B: Allergy is not the cause of extrapyramidal symptoms, so changing medication based on this assumption is incorrect and may lead to unnecessary changes. D: Blaming sunlight for the symptoms is inaccurate and does not address the underlying issue of medication side effects, potentially causing confusion for the patient.
Question 2 of 5
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
Correct Answer: C
Rationale: The correct answer is C because the statement indicates a sudden inability to function normally, which is a key characteristic of a crisis. When a person mentions that they can't seem to function like they usually do, it suggests a significant disruption in their usual coping mechanisms and daily functioning. This can be a sign of a crisis situation where the individual is overwhelmed and struggling to manage their emotions and behavior effectively. Choices A, B, and D do not specifically indicate a crisis as they primarily focus on emotional distress and sadness related to specific events or relationships. While these situations may also be challenging for the individual, they do not necessarily imply a crisis involving a sudden disruption in functioning.
Question 3 of 5
The nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Normal behavior. In delusional disorder, individuals typically exhibit normal behavior aside from their fixed false beliefs (delusions). Delusions are the key characteristic of this disorder, while cognitive impairment (A) is not a defining feature. Labile affect (C) refers to unstable emotions, which are not typically seen in delusional disorder. Evidence of motor symptoms (D) is more indicative of neurological conditions rather than delusional disorder. Hence, the nurse can expect the client to display normal behavior during the interview.
Question 4 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: The correct answer is C: Identify early internal cues of distress. This is the first step because recognizing early signs of distress can help the client intervene before the psychotic episode escalates. By identifying these cues, the client can implement coping strategies and prevent the hallucinations from worsening. Explanation for incorrect choices: A: Using skills to tolerate painful feelings is important, but identifying early cues is crucial for early intervention. B: Deep abdominal breathing can help with relaxation, but it may not address the underlying distress leading to the hallucinations. D: Referring to cards listing symptoms is less effective as it focuses on recognizing symptoms rather than proactively managing distress cues.
Question 5 of 5
A group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following?
Correct Answer: A
Rationale: The correct answer is A because sleep patterns are not constant across the lifespan. Sleep patterns change with age, with newborns sleeping the most and older adults typically experiencing changes in their sleep patterns. This is important for nursing students to understand to provide appropriate care. Choice B is correct because women do tend to report more problems with sleep compared to men due to hormonal fluctuations and other factors. Choice C is correct as working night shifts and sleeping during the day can disrupt the body's natural circadian rhythm, affecting sleep patterns. Choice D is correct as environmental influences on sleep can include factors such as noise, light, temperature, and stress, which can impact the quality of sleep.