ATI RN
ATI Mental Health Test Bank Questions
Question 1 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 2 of 5
A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
Correct Answer: B
Rationale: The correct answer is B: Help the family find funding and manpower to patch and repair the roof of their home. This is the highest priority intervention because it addresses the immediate physical safety and well-being of the family. By repairing the roof, the family will be protected from the elements, preventing further health risks and improving their living conditions. The other choices are incorrect: A: Making immunization appointments is important but not the highest priority in this situation as the family's immediate safety and living conditions are compromised. C: Determining educational readiness is not a priority when the family's basic needs such as shelter are not being met. D: Reporting the family for child abuse is not appropriate in this scenario as the family's situation is due to poverty and lack of resources, not intentional neglect.
Question 3 of 5
While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?
Correct Answer: A
Rationale: The most appropriate statement is "This must be scary for you" (A) because it acknowledges the patient's feelings of isolation and anxiety, showing empathy and validation. This helps build rapport and trust with the patient. Choice B is dismissive and minimizes the patient's feelings. Choice C implies the nurse fully understands, which may not be true. Choice D puts the responsibility on the patient to calm down before help is offered, which can escalate the situation.
Question 4 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 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.