ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: C
Rationale: Command hallucinations pose the highest risk as they may direct the client to harm themselves or others.
Question 2 of 5
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The nurse should immediately arrange emergency assistance as amitriptyline overdose can be life-threatening.
Question 3 of 5
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions?
Correct Answer: A
Rationale: The correct answer is A: Denial. The client's calm demeanor and statement of being "fine" despite having traumatic injuries suggest denial, a defense mechanism where the individual refuses to acknowledge the reality of their situation. This reaction is common in individuals facing overwhelming or distressing events as a way to cope with the emotional impact. Displacement (
B) involves redirecting emotions towards a substitute target, Projection (
C) involves attributing one's own unacceptable feelings to others, and Undoing (
D) involves trying to undo or reverse a previous action to alleviate guilt. In this scenario, denial best fits the client's behavior.
Question 4 of 5
A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Correct Answer: A, B, D
Rationale: MSE evaluates cognitive function, including memory, emotional expression (affect), and self-care abilities (grooming).
Question 5 of 5
A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: Dark-colored urine may indicate liver toxicity, which is a rare but serious side effect of orlistat.