ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: Therapeutic communication validates feelings and encourages dialogue. 'Let’s discuss how to get you the help you need' opens a supportive conversation. Suggesting a sleeping pill or dismissing fatigue is non-therapeutic. Asking about family assistance is practical but less engaging emotionally.
Question 2 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: A structured schedule helps clients with OCD manage time and reduce compulsive behaviors by promoting routine. Detailed explanations are secondary, stimulating environments increase anxiety, and limiting ritual time is impractical without behavioral therapy.
Question 3 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: Bradypnea, or slow breathing, is a life-threatening side effect of diazepam and hydromorphone due to central nervous system depression. It requires immediate attention to prevent respiratory failure. Urinary retention, blurred vision, and headache, while concerning, are not as urgent.
Question 4 of 5
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: Therapeutic communication validates feelings and encourages dialogue. 'Let’s discuss how to get you the help you need' opens a supportive conversation. Suggesting a sleeping pill or dismissing fatigue is non-therapeutic. Asking about family assistance is practical but less engaging emotionally.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client’s statement indicates a desire to self-harm, suggesting a risk of self-mutilation. Illusions involve misinterpreting real stimuli, and hallucinations involve false perceptions, neither indicated here. Attention-seeking behavior is less urgent than the clear risk of self-harm.