ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:
Correct Answer: C
Rationale: The correct answer is C because neurotransmitters involved in sleep and wakefulness are targeted by many psychiatric medications, including SSRIs like fluoxetine. The difficulty sleeping may be a temporary side effect as Madelyn's body adjusts to the medication. This explanation is supported by the fact that changes in neurotransmitter levels can impact sleep patterns. Choice A is incorrect because while SSRIs can cause side effects like hypersomnolence, difficulty sleeping is also a known side effect. Choice B is incorrect because while depression can affect sleep, starting a new medication like fluoxetine can also impact sleep patterns. Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can have negative consequences for Madelyn's mental health. Addressing the sleep issue through education and monitoring is a more appropriate approach.
Question 2 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 3 of 5
A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?
Correct Answer: A
Rationale: The correct answer is A: Going away to college. A developmental crisis is a normal life event that occurs as a person progresses through the stages of life. Going away to college is a typical developmental milestone that can cause stress and require adaptation. This type of crisis is expected and can lead to personal growth and development. Choice B, obtaining a job promotion, is not a developmental crisis as it is not a typical life event associated with a specific stage of life. Choice C, loss of a pet, is considered a situational crisis rather than a developmental crisis. Choice D, earthquake, is classified as a traumatic crisis caused by a sudden and unexpected event, which is not related to personal growth or normal life transitions.
Question 4 of 5
Group dynamics can vary widely and at times members are capable of disrupting the group process. Which of the following participant traits may indicate a need for additional support for a new nurse facilitator? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because a quietly tearful participant expressing suicidal thoughts indicates a serious mental health concern that requires immediate attention and support. This participant may be in distress and at risk of harm, making it crucial for the new nurse facilitator to provide appropriate resources and assistance. Choice A is incorrect because paranoid delusions may not necessarily impact the group dynamics unless they lead to disruptive behavior. Choice C is incorrect as anger alone does not indicate a need for additional support unless it escalates to disruptive behavior. Choice D is also incorrect as being a calm but ineffective communicator may not necessarily indicate a need for additional support unless it hinders the group process.
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.