ATI RN
ATI Mental Health Quiz Questions
Extract:
Question 1 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 2 of 5
A patient states to the nurse, 'I have no idea what typical antipsychotics but now I've been asked to take them.' What symptoms should the nurse be prepared to discuss with the client?
Correct Answer: B
Rationale: Typical antipsychotics commonly cause anticholinergic effects like dry mouth and blurry vision (
B). Delirium and anxiety (
A), dysrhythmia and headache (
C), and diarrhea and flatus (
D) are less common or unrelated.
Question 3 of 5
A client states to the nurse, 'I'm using my telepathic brain power to force the doctor to discharge me.' This is likely an example of which delusion?
Correct Answer: C
Rationale: Magical thinking involves believing one’s thoughts can control external events, like using telepathy to influence a discharge (
C). Grandeur (
A) involves exaggerated self-importance, persecution (
B) involves being targeted, and thought withdrawal (
D) involves thoughts being removed.
Question 4 of 5
The admitting nurse asks a client, 'Hi John, what would you like to talk about in group today?' The client replies, 'Hi john, what would you like to talk about in group today.' The nurse should recognize this response as an example of which of the following?
Correct Answer: A
Rationale: Echolalia is the repetition of another’s words, as seen in the client’s verbatim response (
A). Word salad (
B) is incoherent speech, flight of ideas (
C) involves rapid topic shifts, and clanging (
D) involves sound-based word choices.
Question 5 of 5
A patient on the psychiatric unit took his first dose of chlorpromazine last night. The following morning, he approaches the nursing station complaining of severe spasms in his neck and back. The psych nurse informs the provider, and can expect an order for which medication?
Correct Answer: D
Rationale: Severe spasms are likely extrapyramidal symptoms (EPS) from chlorpromazine, a typical antipsychotic. Benztropine (
D), an anticholinergic, treats EPS. Olanzapine and fluphenazine (A,
C) are antipsychotics, and flumazenil (
B) is for benzodiazepine overdose, not EPS.