ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
The nurse is caring for a client who was just admitted with a diagnosis of schizoaffective disorder with depression. Which agent would the nurse anticipate as being prescribed for this client?
Correct Answer: D
Rationale: The correct answer is D: Clozapine. Clozapine is commonly prescribed for schizoaffective disorder with depression due to its effectiveness in managing both psychotic symptoms and mood disturbances. It is known for its unique ability to target both dopamine and serotonin receptors. A: Lithium is primarily used to treat bipolar disorder, not schizoaffective disorder with depression. B: Haloperidol is an antipsychotic medication more commonly used for treating schizophrenia. C: Chlorpromazine is an older antipsychotic medication that is not typically first-line for schizoaffective disorder with depression. In summary, Clozapine is the most suitable choice due to its dual action on psychotic symptoms and mood stabilization in schizoaffective disorder with depression, making it the most appropriate option among the choices provided.
Question 2 of 5
The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?
Correct Answer: D
Rationale: Step 1: The nurse's priority is to address the client's mental health and behavioral issues to provide appropriate treatment and support. Step 2: Focusing on mental health and behavior helps establish a therapeutic relationship and assess the client's immediate needs. Step 3: Discussing specific crimes may trigger distress or legal concerns, hindering the therapeutic process. Step 4: Avoiding detailed discussions of crimes maintains client confidentiality and respects their dignity. Summary: Option D is correct because it prioritizes mental health assessment over discussing specific crimes, ensuring a client-centered approach and fostering a safe therapeutic environment. Choices A, B, and C are incorrect as they prioritize irrelevant or potentially harmful information over the client's well-being.
Question 3 of 5
The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, 'It's been so difficult taking care of our son. We need a break. But he needs constant supervision.' Which of the following would be appropriate for the nurse to suggest?
Correct Answer: C
Rationale: The correct answer is C: Respite residential care. This option allows the parents to take a break from caregiving while ensuring their son receives necessary supervision. Respite care offers temporary relief for caregivers, preventing burnout. Partial hospitalization (A) involves structured treatment during the day, not suitable for caregiver respite. Acute inpatient care (B) is for crisis situations, not for caregiver relief. Intensive outpatient programs (D) require the patient to attend frequent therapy sessions, not giving the parents a break.
Question 4 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 5 of 5
A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?
Correct Answer: C
Rationale: The correct answer is C: Participating in relationships in which the client has control. In borderline personality disorder, individuals often struggle with issues of control and impulsivity. They may seek relationships where they can exert control to manage intense emotions and fear of abandonment. This behavior is a common manifestation of the disorder. Choices A and B are less likely as individuals with borderline personality disorder may have difficulties with group participation and openly expressing feelings due to fear of rejection or abandonment. Choice D is incorrect as individuals with this disorder often struggle with personal boundaries and may violate them in relationships.