ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Extract:
Question 1 of 5
A client diagnosed with schizophrenia disorder states,"My psychiatrist is out to get me. I'm sad that the voice is telling me to stop the psychiatrist." What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom?
Correct Answer: B
Rationale: Command hallucinations; warn the psychiatrist. The client’s voices directing harm indicate a command hallucination requiring the nurse to warn the potential victim due to duty to protect.
Question 2 of 5
A client with a diagnosis of schizophrenia says to the student nurse,"The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an
Correct Answer: C
Rationale: neologism. "Mazurka" is a made-up word in this context characteristic of neologisms in schizophrenia. Loose associations involve disconnected thoughts dyslexia affects reading and flight of ideas involves rapid topic shifts.
Question 3 of 5
A client diagnosed with major neurocognitive disorder is exhibiting behavioral problems daily. At change of shift,the client's behavior escalates from pacing to screaming and waving their arms while on the ground. Which action should be a nursing priority?
Correct Answer: B
Rationale: Assess environmental triggers and potential unmet needs. Identifying triggers or unmet needs (e.g. pain hunger) can de-escalate behavior and address the root cause making it the priority over restraint injury assessment or consultation.
Question 4 of 5
A client is diagnosed with Trichotillomania. The client has relieved the anxiety over the years by doing what type of behavior?
Correct Answer: A
Rationale: Pulling out their hair is the defining characteristic of Trichotillomania a disorder where individuals repetitively pull out their hair to cope with anxiety. Pretending to be sick (malingering) aphanie (loss of touch sensation) and amnesia (memory loss) are unrelated to this condition.
Question 5 of 5
A client who is agitated and assaultive and unable to be verbally de-escalated is on the inpatient unit. The doctor ordered medications for the nurse to administer to the client. Which medication would the nurse question?
Correct Answer: B
Rationale: Ondansetron is an antiemetic for nausea not agitation or assaultive behavior. Diphenhydramine lorazepam and haloperidol are appropriate for sedation and managing agitation.