ATI RN
ATI Final Mental Health Questions
Question 1 of 5
After teaching a group of students about the epidemiology of schizoaffective disorder, the instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: The correct answer is B: It is more likely to occur in women. Schizoaffective disorder is more prevalent in women than in men, with a slightly higher risk in females. This is due to various factors such as hormonal influences and genetic predispositions. Other choices are incorrect: A is incorrect because schizoaffective disorder typically presents in late adolescence or early adulthood, not in children; C is incorrect as the disorder affects individuals of all racial backgrounds; D is incorrect as there is evidence of familial clustering indicating a genetic component to the disorder.
Question 2 of 5
A psychiatric nurse who works with forensic clients is describing the roles and responsibilities to a group of nursing students. Which of the following would the nurse emphasize as critical before initiating medication therapy for a forensic client?
Correct Answer: C
Rationale: Rationale: C: Informed consent is critical before initiating medication therapy for a forensic client to ensure the client understands the treatment, risks, and alternatives. Without informed consent, the client's autonomy and rights may be violated. It is essential for ethical and legal reasons. A: Court order for medication is not necessary for initiating medication therapy, and it does not ensure the client's understanding or consent. B: Determination of not guilty by reason of insanity is related to legal proceedings and does not directly impact the initiation of medication therapy. D: Identification of history for aggression is important for treatment planning but does not address the immediate need for informed consent before medication therapy.
Question 3 of 5
A nursing student in her last semester has increasing test anxiety. Her professor suggests the student try some integrative therapies. The student reported successful test anxiety reduction with which of the following therapies?
Correct Answer: A
Rationale: The correct answer is A: Aromatherapy and breathing exercises. Aromatherapy can help reduce anxiety by promoting relaxation and stress relief. Breathing exercises can also help calm the mind and body, reducing test anxiety. Megavitamin therapy and yoga (Choice B) may not directly target test anxiety. Naturopathy (Choice C) is a broad term and may not specifically address test anxiety. Reiki (Choice D) is a form of energy healing, which may not be as effective as aromatherapy and breathing exercises for reducing test anxiety.
Question 4 of 5
A son brings his mother to the clinic for an evaluation. The son's mother has moderate Alzheimer's disease without delirium. The nurse assesses the client for which of the following as the priority?
Correct Answer: D
Rationale: The correct answer is D: Catastrophic reactions. In a client with Alzheimer's disease, catastrophic reactions can occur when they are overwhelmed or unable to cope with a situation. These reactions can lead to outbursts or extreme emotional responses. It is important to prioritize assessing and managing catastrophic reactions to ensure the safety and well-being of the client and others. Hearing deficits (choice A) may contribute to communication difficulties but are not as urgent as managing catastrophic reactions. Mania (choice B) and strange verbalizations (choice C) are not typically associated with Alzheimer's disease without delirium and are less concerning compared to potential catastrophic reactions.
Question 5 of 5
A patient is brought to the emergency department by her brother, who reports that the patient became very agitated and 'started hallucinating.' Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The brother states that the patient is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.