ATI RN
ATI Mental Health Test Bank Questions
Question 1 of 5
Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of
Correct Answer: D
Rationale: The correct answer is D: substance abuse. Substance abuse can indicate poor coping skills and increased risk for violent behavior. Substance abuse impairs judgment and impulse control, leading to potential violent outbursts. It may also be used as a maladaptive coping mechanism. A: Academic problems do not necessarily indicate poor coping skills or violent tendencies. B: Family involvement may vary in its impact on coping skills and risk for violence, but it is not a direct indicator. C: Childhood trauma can contribute to poor coping skills and risk for violence, but it is not as direct of an indicator as substance abuse.
Question 2 of 5
A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?
Correct Answer: C
Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.
Question 3 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 4 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 5 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.