ATI RN
Mental Health Final ATI Quizlet Questions
Question 1 of 9
A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago. The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following?
Correct Answer: D
Rationale: Vaginismus is characterized by involuntary spasms of the vaginal muscles, often triggered by fear or anxiety related to past trauma.
Question 2 of 9
A client believes that their partner is having an internet affair. They are spending most of their time stalking their partner on the internet, hacking into their email and social media accounts looking for evidence. What delusion are they experiencing?
Correct Answer: D
Rationale: Jealous delusions involve irrational beliefs about a partner's infidelity, often leading to obsessive behaviors.
Question 3 of 9
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
Correct Answer: C
Rationale: The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline for diagnosing psychiatric disorders.
Question 4 of 9
A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.
Correct Answer: A
Rationale: Accepting refreshments helps establish rapport and demonstrates therapeutic use of self. Refusing may hinder relationship-building.
Question 5 of 9
Riley refuses to attend therapeutic groups while in the hospital. The nurse listens to Riley's comments and plans to speak to the interdisciplinary team counselor about Riley's concerns. What does this situation represent, relative to the nurse"“client interaction?
Correct Answer: C
Rationale: Collaborating with the interdisciplinary team reflects professional sharing in care planning.
Question 6 of 9
Sleep disturbances are often overlooked or undiagnosed due to:
Correct Answer: A
Rationale: Lack of training in sleep disorders contributes to underdiagnosis and inadequate treatment.
Question 7 of 9
A psychiatric-mental health nurse is asked to be a guest speaker at a community fund-raising event for mental health services. Which of the following would the nurse emphasize as the primary goal of mental health services?
Correct Answer: C
Rationale: The primary goal of mental health services is to support recovery and improve the quality of life for individuals with mental illness.
Question 8 of 9
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
Correct Answer: D
Rationale: The nurse should refocus the conversation on the patient's concerns, maintaining a therapeutic focus.
Question 9 of 9
A client diagnosed with major depression was prescribed imipramine (Tofranil) and has been taking this medication for 1 week. The client took his last dose of imipramine (Tofranil) at 9:00 PM. The client is scheduled to have blood drawn to monitor the medication level the next morning. The nurse should instruct the client to have his blood drawn as close as possible to which time?
Correct Answer: D
Rationale: Blood levels of imipramine are most accurate when drawn 12 hours after the last dose, which would be 9:00 AM.