ATI RN
ATI Mental Health Exam N200 Group 2 Exam Questions
Extract:
Question 1 of 5
A client who has schizophrenia is talking to the nurse and states
Correct Answer: B
Rationale: What are the voices telling you to do? This response validates the client's experience and allows the nurse to assess the severity and potential safety risks of the hallucinations. Denying the voices exploring causes immediately or instructing the client to confront the voices are less effective.
Question 2 of 5
The client hears the word "match." The client replies,A match. I like matches. They are the light of the world. God will light the world. Let your light shine. Which communication pattern does the nurse identify?
Correct Answer: D
Rationale: Loose association involves thoughts that are not logically connected. The client's response drifts from "match" to unrelated religious themes fitting this pattern. Clang association relies on sound word salad lacks coherence and ideas of reference involve personal misinterpretations of external events.
Question 3 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 4 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 5 of 5
The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?
Correct Answer: C
Rationale: Tell me what you eat in a typical day. This directly assesses dietary intake providing a comprehensive view of nutritional status. Other options assess access or specific factors but are less direct.