ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 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 desire to self-harm, suggesting a risk of self-mutilation. Illusions involve misinterpreting real stimuli, and hallucinations involve false perceptions, neither indicated here. Attention-seeking behavior is less urgent than the clear risk of self-harm.
Question 2 of 5
A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
Correct Answer: A
Rationale: An unintentional tort, like negligence, occurs without intent to harm. Failing to clarify a prescription leading to a medication error is negligence. Posting private information, unauthorized restraints, and threats are intentional torts (breach of confidentiality, false imprisonment, and assault, respectively).
Question 3 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 desire to self-harm, suggesting a risk of self-mutilation. Illusions involve misinterpreting real stimuli, and hallucinations involve false perceptions, neither indicated here. Attention-seeking behavior is less urgent than the clear risk of self-harm.
Question 4 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 5 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.