ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Acknowledging the client's emotions can de-escalate the situation, reducing immediate risks. Sedatives, debriefing, and restraints are secondary to verbal and emotional support.
Question 2 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 clear intent to harm themselves, suggesting a risk for self-mutilation. Delusions and hallucinations involve false beliefs or perceptions, and attention-seeking is less immediate than self-harm risk.
Question 3 of 5
A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
Correct Answer: C
Rationale: Failure to provide immunizations indicates neglect by not meeting the child's health needs. Jaw fractures suggest abuse, fear requires further investigation, and rocking is not specific to neglect.
Question 4 of 5
A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Risperidone is used to manage irritability and aggression in autism spectrum disorder. It does not cause low blood sugar, requires lab monitoring, and muscle spasms may indicate a side effect needing evaluation, not a dose increase.
Question 5 of 5
A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Cocaine, a stimulant, can cause hyperthermia or fever due to increased metabolic activity. It suppresses appetite (not polyphagia), causes tachycardia (not bradycardia), and does not typically cause oliguria.