ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse’s priority response?
Correct Answer: C
Rationale: The correct answer is C, "Have you thought of harming yourself?" This is the priority response because the client's statement indicates possible suicidal ideation, a serious concern that requires immediate attention to ensure the client's safety. Asking directly about thoughts of self-harm allows for assessment of risk and appropriate intervention.
Choice A is incorrect as it indirectly addresses the issue and does not directly assess for potential harm.
Choice B is also incorrect as it does not address the client's suicidal ideation.
Choice D is incorrect as it focuses on the onset of feelings rather than immediate safety.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis?
Correct Answer: D
Rationale: A situational crisis arises from unexpected events, such as a new medical diagnosis.
Question 3 of 5
A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Echolalia, or repeating words/phrases, is a common communication pattern in autism spectrum disorder.
Question 4 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Encouraging the parents to discuss their feelings helps with emotional processing and coping.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.