ATI RN
ATI Mental Health 1 Questions
Question 1 of 5
During assessment, the nurse asks a patient to explain what the following means: 'A penny saved is a penny earned.' The nurse is assessing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Abstract reasoning. This is because the patient is being asked to interpret and understand a proverb, which requires the ability to think conceptually and make connections between different ideas. Abstract reasoning involves thinking in symbols, understanding complex concepts, and drawing inferences. The other choices are incorrect because: A: Affect refers to emotions and mood, which are not directly related to interpreting a proverb. B: Attention relates to focus and concentration on a specific task, not interpreting abstract concepts like proverbs. C: Concentration involves the ability to focus on a task or information, but it does not necessarily involve abstract thinking or interpretation of concepts.
Question 2 of 5
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced a major life crisis with which score on the questionnaire?
Correct Answer: D
Rationale: The Recent Life Changes Questionnaire assigns a numerical value to different life events. Major life crises are associated with higher scores on the questionnaire. The correct answer is D (450) because it represents a significantly high score indicating a major life crisis. Choices A, B, and C have lower numerical values, which do not reflect the severity of a major life crisis. Therefore, D is the correct choice for identifying a major life crisis based on the Recent Life Changes Questionnaire.
Question 3 of 5
A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the teaching was effective when they state which of the following should be reported immediately?
Correct Answer: A
Rationale: The correct answer is A: Elevated temperature. This should be reported immediately because it could indicate a serious side effect known as neuroleptic malignant syndrome (NMS) associated with antipsychotic medications. NMS is a life-threatening condition characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. Prompt medical intervention is crucial to prevent complications. Option B: Tremor is a common side effect of antipsychotic medications but does not typically require immediate reporting unless severe or persistent. Option C: Decreased blood pressure may occur with certain antipsychotics, but it is not usually an emergency unless symptomatic. Option D: Weight gain is a common side effect of some antipsychotic medications and should be monitored over time but does not necessitate immediate reporting unless excessive or sudden.
Question 4 of 5
While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.
Question 5 of 5
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
Correct Answer: A
Rationale: The correct answer is A: Intentional self-injurious behavior. In factitious disorder, individuals intentionally feign or produce physical or psychological symptoms to assume the "sick role." This behavior is not for any external gain but rather to assume the identity of a patient. The other choices are incorrect because B refers to malingering, which is not the case in factitious disorder; C involves faking illness for external benefits, which is different from factitious disorder; and D is unrelated to the core characteristic of factitious disorder.