ATI RN
ATI Mental Health Quiz Questions
Extract:
Question 1 of 5
A client with schizophrenia tells the nurse that he knows the doctor is trying to kidnap him and sell him as a slave. Which of the following responses by the nurse are therapeutic? (Select all that apply.)
Correct Answer: B,E
Rationale: Encouraging the client to elaborate on their feelings (
B) fosters trust and insight into their delusion without judgment. Acknowledging worry (E) validates emotions without challenging the delusion, reducing distress. Dismissing (A,
C) or engaging with the delusion's specifics (
D) can escalate anxiety or reinforce false beliefs.
Question 2 of 5
A nurse is caring for a client on the adult psychiatric unit who is complaining that small children are playing on the floor his room. The care aide informs the nurse that the room is empty. How should the nurse therapeutically respond to the client?
Correct Answer: C
Rationale: Asking about the children (
C) engages the client gently, exploring potential hallucinations without confrontation. Personal anecdotes (
A), redirection (
B), or dismissal (
D) may minimize or invalidate the client’s perception.
Question 3 of 5
The client exhibits a flat affect, psychomotor retardation, and a depressed mood. The nurse attempts to engage the client in an interaction, but the client does not respond to the nurse. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Sitting quietly with the client (
A) offers supportive presence without pressure, respecting their depression-related withdrawal. Finding another person (
B), leaving (
C), or offering reading material (
D) may feel dismissive or neglectful.
Question 4 of 5
A nurse is caring for client who spent the past several minutes mumbling about being doomed to die and is now pacing in an increasingly agitated and angry manner. Which of the following actions is should the nurse take?
Correct Answer: D
Rationale: Reducing environmental stimuli (
D) is a non-invasive first step to de-escalate agitation by creating a calmer setting. Medication (
A), restraints (
B), or seclusion (
C) are more restrictive and should be last resorts.
Question 5 of 5
A client with schizophrenia tells the nurse that he knows the doctor is trying to kidnap him and sell him as a slave. Which of the following responses by the nurse are therapeutic? (Select all that apply.)
Correct Answer: B,E
Rationale: Encouraging the client to elaborate on their feelings (
B) fosters trust and insight into their delusion without judgment. Acknowledging worry (E) validates emotions without challenging the delusion, reducing distress. Dismissing (A,
C) or engaging with the delusion's specifics (
D) can escalate anxiety or reinforce false beliefs.