ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 of 9
The highest-priority goal of crisis intervention is:
Correct Answer: D
Rationale: The correct answer is D: Patient safety. In crisis intervention, ensuring the safety of the individual in crisis is the highest priority. This includes preventing harm to themselves or others. Addressing anxiety (A) is important, but not the primary goal. Identifying supports (B) and teaching coping skills (C) are also crucial, but ensuring immediate safety takes precedence. Patient safety is the foundation upon which effective crisis intervention is built, providing a sense of security and stability to address other needs.
Question 2 of 9
A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
Correct Answer: D
Rationale: The correct answer is D: Fulfilling relationships. This patient's pattern of idealizing and devaluing significant others suggests symptoms of borderline personality disorder, which is characterized by unstable relationships and emotional dysregulation. Interventions aimed at developing fulfilling relationships can help the patient establish more stable and healthy connections, leading to improved emotional well-being. Options A, B, and C do not directly address the core issue of unstable relationships and emotional emptiness experienced by the patient. Thus, D is the most appropriate choice to address the patient's specific needs.
Question 3 of 9
A psychiatric-mental health nurse is providing care for a patient with a mental disorder. The patient is participating in the decision-making process. The nurse interprets this as which component of recovery?
Correct Answer: B
Rationale: The correct answer is B: Empowerment. Empowerment is the process of enabling individuals to take control of their own lives and make informed decisions. In the context of mental health recovery, when a patient actively participates in the decision-making process, it signifies empowerment. This component is crucial in fostering autonomy and self-determination in individuals with mental disorders. Why the other choices are incorrect: A: Self-direction typically refers to the ability of individuals to make choices and set goals for themselves, but it may not necessarily involve active participation in decision-making processes with healthcare providers. C: Person-centered care focuses on tailoring treatment to individual preferences and needs, but it does not solely address the active involvement of the patient in decision-making. D: Holistic care considers the whole person - mind, body, and spirit - but it does not specifically address the patient's active participation in decision-making.
Question 4 of 9
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 5 of 9
A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?
Correct Answer: B
Rationale: The correct answer is B: Cognition. The nurse is assessing the patient's thought process and decision-making abilities in response to a hypothetical scenario. By asking what the patient would do if experiencing fever and vomiting, the nurse is evaluating the patient's cognitive function. This question assesses the patient's ability to problem-solve, plan, and make decisions, which are key components of cognition. Summary: A: Behavior is incorrect as the question does not pertain to the patient's actions or reactions. C: Affect and mood are incorrect as the question does not focus on the patient's emotions. D: Perceptual disturbances are incorrect as the question does not relate to the patient's sensory perceptions.
Question 6 of 9
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.
Question 7 of 9
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
Correct Answer: B
Rationale: Rationale: 1. Lorazepam is a fast-acting benzodiazepine used for acute anxiety relief. 2. It acts quickly to reduce anxiety symptoms. 3. Buspirone is not suitable for acute relief as it takes weeks to show effectiveness. 4. Amitriptyline and desipramine are tricyclic antidepressants, not fast-acting anxiolytics.
Question 8 of 9
While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?
Correct Answer: B
Rationale: The correct answer is B because sensory decline in older adults can impact their ability to process information, potentially affecting the results of a mental status examination. This is crucial as sensory deficits can lead to misinterpretation of cues, affecting the assessment of mental health issues. Choices A, C, and D are incorrect as they do not directly address the impact of sensory function on mental health assessment. Choice A is incorrect as decline in functioning is not necessarily a uniform pattern in all older adults. Choice C is incorrect as it focuses on the impact of sensory function on medication reactions rather than mental health assessment. Choice D is incorrect as it discusses changes in cognitive abilities rather than the direct impact of sensory decline on mental status examination.
Question 9 of 9
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.