ATI RN
Mental Health ATI Test Bank Questions
Question 1 of 5
The nurse should refer which of the following patients to a partial hospitalization program? A patient who
Correct Answer: D
Rationale: The correct answer is D because the patient is expressing difficulty in avoiding alcohol use, which indicates a potential substance use disorder. Referral to a partial hospitalization program is appropriate for patients struggling with substance use issues as they require intensive treatment and support. Choice A is incorrect as the patient is compliant with lithium therapy. Choice B is incorrect as psychoeducation can be provided in outpatient settings. Choice C is incorrect as the patient needs immediate inpatient care due to active suicidal ideation.
Question 2 of 5
A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?
Correct Answer: D
Rationale: The correct answer is D: Middle insomnia. This is because the client waking up during the night and having trouble returning to sleep is characteristic of middle insomnia, which refers to difficulty maintaining sleep in the middle of the night. Initial insomnia (A) is difficulty falling asleep at the beginning of the night. Terminal insomnia (B) is early morning awakening with an inability to return to sleep. Hypersomnia (C) is excessive daytime sleepiness, which is not indicative of the client's symptoms. Therefore, the correct interpretation in this scenario is middle insomnia.
Question 3 of 5
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with:
Correct Answer: C
Rationale: The correct answer is C: Anxiety and depression. Schizophrenia is often accompanied by co-occurring anxiety and depression. This is because individuals with schizophrenia may experience significant levels of stress, fear, and sadness due to their symptoms. Alcohol is commonly used as a form of self-medication to cope with these negative emotions. Explanation for other choices: A: Generally good health despite the mental illness - This is incorrect because individuals with schizophrenia often have physical health issues due to poor self-care and lifestyle choices. B: An aversion to drinking fluids - This is incorrect as there is no direct correlation between schizophrenia and aversion to drinking fluids. D: The ability to express his needs - This is incorrect as individuals with schizophrenia may struggle to express their needs effectively due to communication difficulties associated with the disorder.
Question 4 of 5
A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hairball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
Correct Answer: B
Rationale: The correct answer is B: Trichotillomania. Trichotillomania is a disorder characterized by the compulsive urge to pull out one's hair, leading to hair loss. In this case, the young girl's behavior of pulling out hair to relieve tension and anxiety aligns with the symptoms of trichotillomania. Kleptomania (A) is the urge to steal items, not related to hair pulling. Pyromania (C) is the urge to set fires, not related to hair pulling. Intermittent explosive disorder (D) involves episodes of impulsive aggression, not related to hair pulling.
Question 5 of 5
A client visits the emergency department after she was raped in her apartment. The nurse assesses the client's ability to adapt to the trauma by assessing her social support systems and which of the following?
Correct Answer: A
Rationale: The correct answer is A: Ability to effectively activate coping strategies. This is crucial in assessing the client's ability to adapt to trauma. Coping strategies help individuals manage stress and trauma effectively. By assessing the client's coping strategies, the nurse can determine how well the client is able to deal with the psychological impact of the rape. Choices B, C, and D are incorrect because they do not directly assess the client's ability to adapt to the trauma through coping strategies. Body image disturbance (B) may be a concern but is not the primary focus immediately after a traumatic event. The type of affect reflected in nonverbal communication (C) and the degree of fear response (D) are important but do not directly measure the client's coping abilities. Therefore, A is the most relevant choice for assessing the client's adaptation to trauma in this context.