ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Driving away ensures the nurse’s safety from a potentially dangerous situation, allowing authorities to intervene. Honking or speaking risks escalation, and stopping in the driveway is unsafe.
Question 2 of 5
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Limiting questions reduces overwhelm and paranoia, aiding assessment. Seclusion is extreme, touch may be misinterpreted, and confronting delusions risks distress, all less therapeutic.
Question 3 of 5
A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, 'I am not sure why I need to have a relapse plan.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: A relapse plan identifies early symptoms and actions to prevent worsening, supporting recovery. Coping strategies, housing needs, or hospitalization are partial or secondary aspects.
Question 4 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.
Question 5 of 5
A nurse is developing a plan of care integrating Maslow's hierarchy of needs. Which area would the nurse identify as the priority?
Correct Answer: B
Rationale: Maslow’s hierarchy prioritizes physiological needs like food for survival before addressing safety (social environment), esteem (self-image), or belonging (family acceptance). Adequate food is foundational.