ATI RN
ATI Proctored Mental Health Questions
Question 1 of 5
While caring for an 88-year-old client suspected of having dementia, the nurse assesses the client for a common delusional thought. Which of the following would the nurse interpret as a common delusion?
Correct Answer: D
Rationale: The correct answer is D: My roommate keeps stealing my clothes. This delusion is common in dementia patients, involving paranoia and mistrust. It is plausible and related to daily life, making it more likely in dementia. Choices A, B, and C are grandiose and persecutory delusions, which are less common in dementia and more characteristic of other mental health conditions.
Question 2 of 5
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor?
Correct Answer: B
Rationale: Rationale for correct answer (B): Hypnosis promotes increased control of pain perception by helping the individual focus on positive suggestions and imagery, reducing the perception of pain during contractions. By using hypnosis, the pregnant individual can learn to manage and cope with labor pain more effectively. Summary of incorrect choices: A: Biofeedback is a separate technique from hypnosis, focusing on monitoring and controlling physiological responses. C: Therapeutic touch is a different nonpharmacological pain management technique that involves the use of touch to promote relaxation, not specifically related to hypnosis. D: While hypnosis can provide guidance and suggestions, its primary focus is on enhancing control over pain perception rather than solely minimizing pain.
Question 3 of 5
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
Correct Answer: B
Rationale: The correct answer is B: Monoamine oxidase inhibitors. Patients with intellectual disabilities may have difficulty understanding and adhering to dietary restrictions required with MAOIs, increasing the risk of hypertensive crisis. SSRIs and SNRIs (A and C) are generally safer and easier to manage in such patients. Therefore, MAOIs would be the classification of antidepressants that the nurse would question for a patient with a mild intellectual disability.
Question 4 of 5
A nurse is performing an admission assessment. The patient complains that it has been taking larger and larger amounts of medication to get the desired effect. Based on this information, the nurse interprets this as suggesting which of the following?
Correct Answer: B
Rationale: The correct answer is B: Tolerance. Tolerance refers to the body's reduced response to a drug over time, necessitating higher doses to achieve the same effect. In this scenario, the patient needing larger amounts of medication to achieve the desired effect indicates tolerance development. Desensitization (A) refers to reduced response due to receptor downregulation. Therapeutic index (C) is the ratio of a drug's effective dose to its toxic dose. Toxicity (D) is the harmful effects of a drug at excessive doses.
Question 5 of 5
The nurse is assessing a group of patients on an inpatient psychiatric unit. The patient's history for which of the following would the nurse identify as the strongest indicator of risk for violence?
Correct Answer: D
Rationale: The correct answer is D, violent behavior. This is the strongest indicator of risk for violence because past behavior is a significant predictor of future behavior. Patients with a history of violent behavior are more likely to exhibit violent tendencies in the future. Assessing for this history allows the nurse to implement appropriate interventions to prevent harm to self or others. Incorrect Choices: A: Panic disorder - Panic disorder is characterized by recurrent panic attacks and is not directly associated with an increased risk of violence. B: Problematic anxiety - While anxiety can contribute to agitation and irritability, it is not as strong of an indicator for violence compared to a history of violent behavior. C: Somatoform disorder - Somatoform disorder involves physical symptoms with no identifiable medical cause and is not typically associated with an increased risk of violence.