ATI RN
ATI Mental Health Exam Questions
Question 1 of 5
The nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed mirtazapine. The nurse interprets this information, identifying this agent as which type?
Correct Answer: D
Rationale: The correct answer is D: Alpha-2 antagonist. Mirtazapine is classified as a noradrenergic and specific serotonergic antidepressant (NaSSA), which acts as an alpha-2 adrenergic receptor antagonist. This mechanism of action increases the release of norepinephrine and serotonin in the brain, leading to its antidepressant effects. Selective serotonin reuptake inhibitors (SSRIs) inhibit the reuptake of serotonin, cyclic antidepressants primarily inhibit reuptake of norepinephrine and serotonin, and norepinephrine dopamine reuptake inhibitors (NDRIs) inhibit the reuptake of norepinephrine and dopamine. Thus, choices A, B, and C are incorrect in this context.
Question 2 of 5
A nurse in an outpatient clinic is assessing a child, and the nurse will interview the child and the child's parents separately. Which of the following comments would the nurse anticipate the child making during the upcoming interview?
Correct Answer: C
Rationale: The correct answer is C because the child expressing sadness and having trouble sleeping may indicate underlying emotional or mental health issues. This information can help the nurse assess the child's well-being and provide appropriate support. Incorrect Answers: A: "I can't get along with my parents" - This statement may suggest conflict in the parent-child relationship but does not directly indicate the child's emotional state. B: "I yell at my parents a lot" - This statement implies behavioral issues rather than emotional distress. D: "I refuse to do what my parents tell me to" - This statement indicates defiance or disobedience but does not necessarily reflect the child's emotional well-being. In summary, choice C is correct as it provides valuable insight into the child's emotional state, whereas the other choices focus on different aspects of the parent-child relationship or behavior.
Question 3 of 5
A nurse is teaching an in-service education class about caring for homeless populations. When explaining the difference between the care provided by Safe Havens and Shelter Plus Care, which of the following would the nurse include?
Correct Answer: D
Rationale: The correct answer is D because Shelter Plus Care offers both supportive services and long-term housing, which is crucial for homeless populations to achieve stability and independence. Safe Havens, on the other hand, primarily focus on providing immediate shelter and support services but not long-term housing. A is incorrect because Safe Havens actually offer more intensive services to a smaller population. B is incorrect because Safe Havens typically have a smaller capacity than 100 people. C is incorrect because Safe Havens do not typically provide long-term housing, only short-term shelter.
Question 4 of 5
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
Correct Answer: B
Rationale: The correct answer is B: DSM-V. The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the standard classification of mental disorders used by healthcare professionals, including nurses. It provides detailed diagnostic criteria for various mental health conditions, including anxiety disorders. The DSM-V is considered the most comprehensive and up-to-date resource for diagnosing mental health disorders. Incorrect Choices: A: Nursing Outcomes Classification (NOC) focuses on outcomes rather than diagnostic criteria for mental disorders. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide diagnostic criteria. D: ICD-10 (International Classification of Diseases, Tenth Revision) is primarily used for coding and billing purposes and does not offer detailed diagnostic criteria for mental health disorders like anxiety disorders.
Question 5 of 5
Nurse is developing discharge care plans for a client who has osteoporosis. To prevent injury, the nurse should instruct the client to:
Correct Answer: A
Rationale: The correct answer is A: Perform weight bearing exercises. Weight bearing exercises help to strengthen bones, which is crucial for individuals with osteoporosis to prevent fractures. By engaging in weight bearing exercises, such as walking or lifting weights, the client can improve bone density and reduce the risk of fractures. Avoid crossing the legs beyond the midline (B) is not directly related to preventing injury in osteoporosis. Avoiding sitting in one position for prolonged periods (C) is important for preventing pressure sores but not specifically related to preventing injury in osteoporosis. Splinting the affected area (D) may be used in certain cases for support but does not address the primary preventive measure of strengthening bones through weight bearing exercises.