ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has schizophrenia. The client says, "I hear voices telling me what to do." This is an example of which of the following?
Correct Answer: C
Rationale: Auditory hallucinations are common in schizophrenia, involving hearing voices that are not real.
Question 2 of 5
Which intervention should a nurse prioritize when caring for a client with alcohol use disorder?
Correct Answer: B
Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial in managing alcohol use disorder as it addresses the physical consequences of excessive alcohol consumption, such as dehydration and exhaustion. Hydration helps prevent complications like electrolyte imbalances and detoxification, while rest supports the body's healing process. Helping the client identify positive personality traits (
A) may be beneficial for self-esteem but is not a priority in the acute care phase. Confronting denial and defense mechanisms (
C) can lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but may not be effective if the client is not physically stable.
Question 3 of 5
A nurse is assessing a client who has a mood disorder to determine his readiness for discharge. Which of the following statements by the client indicates he is ready for discharge?
Correct Answer: C
Rationale: Adherence to medication and awareness of emergency contacts indicate readiness for discharge.
Question 4 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: A
Rationale: The correct answer is A: Mental Status Examination (MSE). This is a crucial part of the assessment for a suspected cognitive disorder in older adults. The MSE evaluates cognitive functions such as orientation, memory, attention, language, and executive functions. It helps in identifying any cognitive deficits and provides a baseline for monitoring changes over time.
Brief Patient Health Questionnaire (Brief PHQ) (
B), Abnormal Involuntary Movements Scale (AIMS) (
C), and Scale for Assessment of Negative Symptoms (SANS) (
D) are not appropriate for assessing cognitive disorders. The Brief PHQ is used for screening depression, AIMS for monitoring movement disorders, and SANS for assessing negative symptoms in psychiatric disorders. These tools do not directly evaluate cognitive functions.
Question 5 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Follow the client to determine the cause of the behavior. This is the best course of action as the nurse should ensure the safety and well-being of the client who ran out of the room. By following the client, the nurse can assess the situation, provide support, and prevent any potential harm or escalation of the situation. It also allows the nurse to gather more information about the client's behavior and address any underlying issues.
Choices A, C, and D are incorrect. Asking the group for their thoughts may not address the immediate safety concerns of the client. Ignoring the incident can be dangerous as the client may be in distress. Asking another client to check on the situation is not appropriate as it is the responsibility of the nurse to assess and manage the situation directly.