ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 5
After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child's motor activity? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hyperalertness. Motor activity refers to physical movements and energy levels. Hyperalertness indicates increased arousal and responsiveness, which can manifest as fidgeting, restlessness, or excessive movement. This is a direct indicator of the child's motor activity. A: Favorite story, Huckleberry Finn - This choice is related to cognitive function and interests, not motor activity. B: Short attention span - This choice is related to cognitive function and focus, not motor activity. D: Went to the park last weekend - This choice is related to past events and activities, not current motor activity.
Question 2 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 3 of 5
According to Maslow's hierarchy of needs, which of the following client actions would be considered most basic? Select all that apply.
Correct Answer: A
Rationale: According to Maslow's hierarchy of needs, the most basic needs are physiological needs, safety needs, and then social needs. Choice A addresses the need for safety by discussing the need for order and freedom from fear, making it the most basic. Choices B, C, and D relate to higher-level needs such as belongingness, esteem, and self-actualization, respectively. Choice B addresses the need for social connection, Choice C relates to self-actualization, and Choice D involves practicing assertiveness skills, which is related to esteem needs. Thus, Choice A is the most basic according to Maslow's hierarchy.
Question 4 of 5
After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child's motor activity? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Hyperalertness. Motor activity refers to physical movements and energy levels. Hyperalertness indicates increased arousal and responsiveness, which can manifest as fidgeting, restlessness, or excessive movement. This is a direct indicator of the child's motor activity. A: Favorite story, Huckleberry Finn - This choice is related to cognitive function and interests, not motor activity. B: Short attention span - This choice is related to cognitive function and focus, not motor activity. D: Went to the park last weekend - This choice is related to past events and activities, not current motor activity.
Question 5 of 5
The nurse is caring for a female adolescent client diagnosed with depression and substance abuse. Which of the following would be most appropriate for the nurse to do?
Correct Answer: B
Rationale: The correct answer is B because asking about thoughts of harming herself is essential to assess suicide risk in clients with depression and substance abuse. It is crucial for the nurse to ensure the client's safety. Choice A is incorrect because hyperactivity is not typically associated with depression and substance abuse in adolescents. Choice C is incorrect because Wernicke's syndrome is not directly related to the client's current diagnoses. Choice D is incorrect because excessive anxiety, while important, is not as immediately critical as assessing suicide risk in this situation.