ATI RN
ATI Real Life Mental Health Schizophrenia Questions
Question 1 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 2 of 5
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Impulsivity. In bulimia nervosa, individuals often engage in impulsive behaviors such as binge eating followed by purging. This is a key characteristic of the disorder. Impulsivity can manifest as a lack of control over eating behaviors. Panic (B), hyperactivity (C), and delusions (D) are not typically associated with bulimia nervosa. Panic attacks may occur in some cases, but it is not a defining feature of the disorder. Hyperactivity and delusions are not common symptoms of bulimia nervosa.
Question 3 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 4 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.
Question 5 of 5
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.