ATI RN
ATI Final Mental Health Questions
Question 1 of 5
What is a type of hallucination?
Correct Answer: C
Rationale: The correct answer is C: gustatory, which refers to hallucinations related to taste. This is the correct answer because hallucinations can involve all senses, including taste. Erotomanic (A) hallucinations involve believing someone is in love with you, referential (B) hallucinations involve attaching personal significance to random events, and tangential (D) hallucinations involve diverging from the main topic in conversation. These choices are incorrect because they do not pertain specifically to the sense of taste in hallucinations.
Question 2 of 5
The case manager plans to discuss the treatment plan with a patient's family. Select the case manager's first action.
Correct Answer: C
Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.
Question 3 of 5
Which elements are included in the nurse-client contract?
Correct Answer: B
Rationale: The correct answer is B because during the orientation phase of the nurse-client relationship, the purpose and goals of the interaction are established, setting the foundation for the therapeutic relationship. In contrast, choice A refers to the pre-interaction phase where the roles of both parties are clarified, not the contract itself. Choice C involves the working phase, which focuses on achieving the established goals, not termination conditions. Choice D pertains to the termination phase where the relationship is concluded, not where discharge criteria are set. Therefore, B is correct as it directly relates to the establishment of the purpose of the interaction in the nurse-client contract.
Question 4 of 5
A patient is brought to the emergency department by her brother, who reports that the patient became very agitated and 'started hallucinating.' Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The brother states that the patient is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.
Question 5 of 5
A client with insomnia is prescribed zolpidem. When describing the action of this medication to the client, the nurse would incorporate information related to the medication's effect on which of the following?
Correct Answer: A
Rationale: Rationale: 1. Zolpidem enhances the action of GABA neurotransmitter. 2. GABA inhibits brain activity, promoting relaxation and sleep. 3. Therefore, correct answer is A: GABA. Summary: B: Serotonin - Not directly affected by zolpidem. C: Dopamine - Not the primary neurotransmitter involved in sleep regulation. D: Norepinephrine - Not directly targeted by zolpidem for sleep promotion.