ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Extract:
Question 1 of 5
A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Tardive dyskinesia is a chronic syndrome characterized by involuntary movements of the tongue, lips, and face, as described in the client's symptoms. This condition is commonly associated with long-term use of first-generation antipsychotics, like the one the client has been taking for 8 months. Tardive dyskinesia typically develops after prolonged exposure to antipsychotic medications and is often irreversible.
A: Akathisia is characterized by restlessness and the inability to sit still, not the involuntary movements described in the client.
B: Neuroleptic malignant syndrome presents with fever, altered mental status, muscle rigidity, and autonomic dysfunction, not the specific movements seen in the client.
C: Dystonia involves sustained muscle contractions leading to abnormal postures or repetitive movements, but it does not typically involve the specific facial movements described.
Therefore, D is the most appropriate choice given the
Question 2 of 5
An adolescent client has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as the:
Correct Answer: A
Rationale: The correct answer is A: Parent Surrogate. In this scenario, the nurse is assuming the role of a parent by imposing a consequence (losing phone privileges) for breaking a rule, mirroring parental disciplinary actions. This is important in a therapeutic setting to establish boundaries and promote accountability. The other choices are incorrect because: B: Caregiver focuses on providing physical care; C: Advocate involves supporting the client's rights and needs; D: Teacher focuses on providing education. In this situation, the nurse is specifically taking on the role of a parental figure, hence A is the correct answer.
Question 3 of 5
A new nurse tells a mentor, 'I want to convey to my clients that I am interested in them and that I want to listen to what they have to say.' Which behaviors are helpful in meeting the nurse's goal? Select all that apply.
Correct Answer: A,C
Rationale: The correct answers are A and C. Maintaining good eye contact (
A) shows active listening and interest in the client. Assuming an open body posture with arms unfolded (
C) conveys approachability and attentiveness. Crossing legs (
B) can appear closed off or disinterested. Facing the client while sitting behind a desk (
D) creates a physical barrier and may hinder communication. Keeping hands in pockets (E) can signal disengagement or lack of interest. In summary, A and C promote effective communication and demonstrate genuine interest, while the other options may impede building a positive client-nurse relationship.
Question 4 of 5
A nursing instructor is comparing homeless people without mental illness to homeless people with mental illness. Homeless people with mental illness:
Correct Answer: C
Rationale: The correct answer is C: Homeless people with mental illness spend more time in jail. This is because individuals with mental illness may struggle to access mental health support and services, leading to behaviors that result in incarceration.
Choice A is incorrect as mental illness can strain familial relationships.
Choice B is incorrect as mental illness can create additional barriers to employment.
Choice D is incorrect as homeless individuals with mental illness may seek shelter more frequently due to lack of stable housing.
Question 5 of 5
A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
Correct Answer: D
Rationale: The correct answer is D because the nurse-patient relationship in mental health nursing is client-centered, focusing on empowering the patient to take an active role in their own care. By discussing problems together but implementing solutions by the patient, the nurse encourages autonomy and self-efficacy. This approach fosters the patient's independence and promotes self-management of their mental health.
Choice A is incorrect because it implies the nurse solves the patient's problems, which can undermine the patient's autonomy.
Choice B is incorrect as it emphasizes socialization over the patient's individual needs.
Choice C is incorrect because it suggests an equal partnership, which may not always be appropriate in mental health nursing where the patient may require more guidance and support.