ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
A psychiatric-mental health nurse is providing care for a patient with a mental disorder. The patient is participating in the decision-making process. The nurse interprets this as which component of recovery?
Correct Answer: B
Rationale: The correct answer is B: Empowerment. Empowerment is the process of enabling individuals to take control of their own lives and make informed decisions. In the context of mental health recovery, when a patient actively participates in the decision-making process, it signifies empowerment. This component is crucial in fostering autonomy and self-determination in individuals with mental disorders. Why the other choices are incorrect: A: Self-direction typically refers to the ability of individuals to make choices and set goals for themselves, but it may not necessarily involve active participation in decision-making processes with healthcare providers. C: Person-centered care focuses on tailoring treatment to individual preferences and needs, but it does not solely address the active involvement of the patient in decision-making. D: Holistic care considers the whole person - mind, body, and spirit - but it does not specifically address the patient's active participation in decision-making.
Question 2 of 5
In an initial group therapy session, the nurse observes that one group member continually tries to monopolize the conversation. The nurse interprets this behavior as reflecting which of the following in the patient?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The patient's behavior of monopolizing the conversation in a group therapy setting is likely a manifestation of anxiety. This behavior can be a coping mechanism to divert attention away from their own discomfort and vulnerability. By dominating the conversation, the patient may be attempting to maintain a sense of control and avoid facing their own underlying fears and anxieties. This behavior may also stem from a fear of being judged or feeling inadequate in the group setting. Choices B, C, and D are incorrect because anger, rebellion, and fear do not align as clearly with the behavior described in the scenario. Anger typically involves a different expression, rebellion would manifest differently, and fear would manifest more as withdrawal or avoidance rather than dominating the conversation.
Question 3 of 5
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues. Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment. Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults. Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment. Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.
Question 4 of 5
The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
Correct Answer: C
Rationale: The correct answer is C because instituting strict restrictions on the patient's activity is not appropriate when a patient is at imminent risk for suicide. This can increase feelings of hopelessness and powerlessness, potentially exacerbating the risk. Listening intently and nonjudgmentally (A), validating feelings (B), and using cognitive interventions to foster hope (D) are all appropriate strategies that can help support the patient and address the underlying issues contributing to their suicidal ideation. It is important to focus on therapeutic interventions that promote safety and provide support rather than imposing strict restrictions.
Question 5 of 5
A client with bipolar disorder having experienced a depressive episode is prescribed lamotrigine. After teaching the client about this medication, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Lamotrigine can cause a serious skin rash called Stevens-Johnson syndrome, so it's crucial for the client to notify their physician immediately if a skin rash develops. 2. Monitoring blood levels is not typically required for lamotrigine. 3. Watching salt intake is not directly related to lamotrigine use. 4. While lamotrigine can rarely affect liver function, it is not the primary concern compared to the potential serious skin rash.