ATI RN
ATI Mental Health Practice Questions Code Questions
Question 1 of 4
The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories?
Correct Answer: C
Rationale: The correct answer is C: Depression. Clients with anorexia nervosa often experience co-morbid conditions like depression due to the psychological and emotional impact of the disorder. Depression can exacerbate anorexic behaviors and hinder recovery. Paranoia (A), primary insomnia (B), and aggression (D) are not typically associated with anorexia nervosa. Paranoia is more commonly linked to conditions like schizophrenia, primary insomnia is a sleep disorder, and aggression may occur in various psychiatric disorders but is not a hallmark of anorexia nervosa.
Question 2 of 4
A client with major depression visits the mental health clinic and tells the nurse that he has recently started using marijuana quite frequently. The nurse determines that the manifestation of the client's co-occurring disorder reflects which of the following?
Correct Answer: A
Rationale: The correct answer is A: Primary mental illness with subsequent substance use. In this scenario, the client's major depression is the primary mental illness, and the use of marijuana is a secondary behavior or coping mechanism. The client is using marijuana as a way to self-medicate or alleviate symptoms of depression. It is important to address the underlying mental health issue (major depression) as the primary concern. Choice B is incorrect because it suggests that substance abuse is the primary disorder with subsequent psychopathologic consequences, which is not the case in this scenario. Choice C is incorrect as it implies that both major depression and substance use are primary diagnoses, which is not the most accurate interpretation of the situation presented. Choice D is incorrect because it suggests a common cause for both conditions, which is not supported by the information provided.
Question 3 of 4
A citizen at a community health fair asks the nurse, 'What is the most prevalent mental disorder in the United States?' Select the nurse's correct response.
Correct Answer: D
Rationale: The correct answer is D: Alzheimer's disease. This is because Alzheimer's disease is the most prevalent mental disorder in the United States, affecting a large number of individuals, especially in older age groups. Schizophrenia (A) and bipolar disorder (B) are serious mental illnesses, but they are less common than Alzheimer's disease. Dissociative fugue (C) is a rare disorder characterized by amnesia and sudden travel away from home. While all these disorders are significant, Alzheimer's disease stands out as the most prevalent in the U.S. based on epidemiological data.
Question 4 of 4
A client with suicidal thoughts tells the nurse, 'It just does not seem worth it anymore. Why not end my misery?' Which of the following responses for the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because asking about a specific plan to end their life assesses the client's level of risk for immediate harm. It helps determine the seriousness of their suicidal thoughts and the need for immediate intervention. Choices A, C, and D are incorrect because they do not directly address the client's suicidal ideation or assess their immediate risk. Option A focuses on the client's perception of life but does not assess their immediate safety. Option C seeks clarification but does not address the urgency of the situation. Option D emphasizes trust but does not assess the client's immediate risk.