ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
A psychiatric mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?
Correct Answer: D
Rationale: The correct answer is D: Suicide risk. When assessing young and middle-aged adults, identifying suicide risk is a critical priority to ensure their safety. Suicide risk assessment involves evaluating factors like past attempts, suicidal ideation, impulsivity, and access to means. Understanding and addressing suicide risk is crucial in psychiatric care to prevent harm. A: Coping skills - While important, assessing coping skills may not be as urgent as identifying suicide risk in this population. B: Cognition - Assessing cognition is valuable but may not be an immediate priority compared to addressing suicide risk. C: Self-esteem - Self-esteem assessment is relevant, but identifying suicide risk takes precedence due to the potential for immediate harm.
Question 2 of 5
A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Middle insomnia. This is because the client waking up during the night and having trouble returning to sleep is characteristic of middle insomnia, which refers to difficulty maintaining sleep in the middle of the night. Initial insomnia (A) is difficulty falling asleep at the beginning of the night. Terminal insomnia (B) is early morning awakening with an inability to return to sleep. Hypersomnia (C) is excessive daytime sleepiness, which is not indicative of the client's symptoms. Therefore, the correct interpretation in this scenario is middle insomnia.
Question 3 of 5
A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hairball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
Correct Answer: B
Rationale: The correct answer is B: Trichotillomania. Trichotillomania is a disorder characterized by the compulsive urge to pull out one's hair, leading to hair loss. In this case, the young girl's behavior of pulling out hair to relieve tension and anxiety aligns with the symptoms of trichotillomania. Kleptomania (A) is the urge to steal items, not related to hair pulling. Pyromania (C) is the urge to set fires, not related to hair pulling. Intermittent explosive disorder (D) involves episodes of impulsive aggression, not related to hair pulling.
Question 4 of 5
A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?
Correct Answer: B
Rationale: The correct answer is B: 1 to 2 weeks. Sertraline is an antidepressant that can help with premature ejaculation. It typically takes 1 to 2 weeks for the medication to start showing effectiveness due to the need for the drug to reach a therapeutic level in the body. This time frame allows the client's body to adjust to the medication and for the serotonin levels to stabilize, resulting in improved control over ejaculation. Choices A (5 to 7 days), C (3 to 4 weeks), and D (6 to 8 weeks) are incorrect as they do not align with the typical onset of action for sertraline. A shorter time frame like 5 to 7 days is usually insufficient for the drug to reach therapeutic levels, while longer time frames like 3 to 4 weeks or 6 to 8 weeks exceed the typical onset of action for this medication.
Question 5 of 5
When assessing a client with dementia, the nurse identifies that the client is experiencing hallucinations. Based on the nurse's understanding of this disorder, which type of hallucination would the nurse expect as most common?
Correct Answer: B
Rationale: The correct answer is B: Visual hallucinations. In dementia, visual hallucinations are most common due to changes in the brain affecting perception. These hallucinations can be vivid and complex. Auditory hallucinations (choice A) are less common in dementia. Gustatory (choice C) and olfactory (choice D) hallucinations are even rarer and usually not associated with dementia. Visual hallucinations are often distressing for individuals with dementia and may require appropriate interventions for management.