ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
Correct Answer: B
Rationale: Fluoxetine, an SSRI, is a first-line treatment for depression, increasing serotonin levels. Midazolam is for sedation, cyclobenzaprine for muscle spasms, and valproic acid for mood stabilization, not depression.
Question 2 of 5
A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
Correct Answer: D
Rationale: A client with somatic symptom disorder experiences excessive focus on physical symptoms. Assertiveness training can help them express needs effectively, reducing symptom focus. Delirium requires treating the underlying cause, not assertiveness training. Auditory hallucinations indicate psychosis, where symptom management is prioritized. Mania involves impulsivity, making training ineffective during acute episodes.
Question 3 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Requesting an evaluation within 12 hours ensures the client’s condition is reassessed, and restraint necessity is reviewed. Documentation is ongoing, prolonged restraint use is inappropriate, and debriefing is secondary.
Question 4 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.
Question 5 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.