ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 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 2 of 5
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: A
Rationale: Serotonin deficiency is a key risk factor for depression, affecting mood regulation. Acute bronchitis and elevated calcium are not directly linked, and being an only child lacks evidence as a risk factor.
Question 3 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 4 of 5
A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: Histrionic personality disorder is marked by excessive emotionality and attention-seeking behavior. Individuals with this disorder often engage in inappropriate sexually seductive or provocative behavior to draw attention, aligning with the described behaviors. Paranoid personality disorder involves distrust and suspicion, not attention-seeking. Narcissistic personality disorder focuses on grandiosity and admiration, not flirtatious behavior. Antisocial personality disorder involves disregard for others' rights, not flirtatious actions.
Question 5 of 5
A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct Answer: C
Rationale: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.