ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
The nurse is assessing a group of patients on an inpatient psychiatric unit. The patient's history for which of the following would the nurse identify as the strongest indicator of risk for violence?
Correct Answer: D
Rationale: The correct answer is D, violent behavior. This is the strongest indicator of risk for violence because past behavior is a significant predictor of future behavior. Patients with a history of violent behavior are more likely to exhibit violent tendencies in the future. Assessing for this history allows the nurse to implement appropriate interventions to prevent harm to self or others. Incorrect Choices: A: Panic disorder - Panic disorder is characterized by recurrent panic attacks and is not directly associated with an increased risk of violence. B: Problematic anxiety - While anxiety can contribute to agitation and irritability, it is not as strong of an indicator for violence compared to a history of violent behavior. C: Somatoform disorder - Somatoform disorder involves physical symptoms with no identifiable medical cause and is not typically associated with an increased risk of violence.
Question 2 of 5
A client with obsessive-compulsive disorder has been taking fluoxetine for 1 month. The client tells the nurse, These pills are making me sick. I think I'm getting a brain tumor because of the headaches. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Rationale: 1. Correct Answer (D): This response educates the client about a potential side effect of the medication, linking headaches to fluoxetine. It addresses the client's concern directly and provides accurate information. 2. Incorrect Answer (A): Focusing on rituals doesn't address the client's specific complaint of headaches and brain tumor fears. 3. Incorrect Answer (B): Asking about hand washing is unrelated to the client's symptoms of headaches and brain tumor fears. 4. Incorrect Answer (C): Inquiring about relaxation exercises doesn't address the client's concern about medication side effects causing headaches.
Question 3 of 5
A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement?
Correct Answer: B
Rationale: The nurse would identify option B as interfering with achievement because addressing overall issues can be overwhelming and vague, making it difficult to measure progress effectively. Stating outcomes in realistic terms (A) is important for setting achievable goals. Indicating small successes (C) allows for incremental progress tracking. Identifying outcomes for specific behaviors (D) helps in defining clear targets for intervention. In summary, option B lacks specificity and may hinder the client's progress by not providing clear direction for goal attainment.
Question 4 of 5
While caring for an 88-year-old client suspected of having dementia, the nurse assesses the client for a common delusional thought. Which of the following would the nurse interpret as a common delusion?
Correct Answer: D
Rationale: The correct answer is D: My roommate keeps stealing my clothes. This delusion is common in dementia patients, involving paranoia and mistrust. It is plausible and related to daily life, making it more likely in dementia. Choices A, B, and C are grandiose and persecutory delusions, which are less common in dementia and more characteristic of other mental health conditions.
Question 5 of 5
A group of nursing students is reviewing information about the types of abuse. The students demonstrate understanding of the information when they identify stalking as a crime of which of the following?
Correct Answer: B
Rationale: The correct answer is B: Intimidation. Stalking is a crime that involves persistent and unwanted attention, behavior, or contact that instills fear or intimidation in the victim. Stalking is not necessarily always accompanied by physical violence (choice A), jealousy (choice C), or fear (choice D). Intimidation, on the other hand, accurately captures the coercive and fear-inducing nature of stalking behavior. Stalking behavior aims to control, scare, or manipulate the victim through persistent unwanted contact and surveillance.