ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?
Correct Answer: C
Rationale: The correct answer is C: Memory deficit. ECT can cause short-term memory loss due to the electrical stimulation affecting the brain's functioning. The nurse should monitor the client for any signs of memory impairment post-treatment. Voice alteration (
A), neck pain (
B), and headache (
D) are less common adverse effects of ECT compared to memory deficits. It is crucial for the nurse to focus on closely monitoring the client for memory deficits as it is a prominent concern associated with ECT.
Question 2 of 5
A nurse is caring for a client who has dementia and insists a doll is her infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Correct Answer: C
Rationale: The correct answer is C: Validation therapy. This technique involves acknowledging and accepting the client's feelings and reality as valid, even if it differs from actual reality. For a client with dementia who believes a doll is her infant child, using validation therapy can help build trust and reduce agitation. Cognitive reframing (
A) involves changing negative thoughts into positive ones, which may not be effective in this situation. Thought stopping (
B) aims to interrupt and replace negative thoughts, not applicable here. Operant conditioning (
D) involves shaping behavior through reinforcement or punishment, not suitable for addressing the client's belief.
Question 3 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a structured schedule of daily activities. This is important for clients with obsessive-compulsive disorder as it helps establish predictability and routine, which can reduce anxiety and provide a sense of control. Structured activities can help the client focus their energy and attention away from obsessive thoughts and compulsive behaviors.
Other choices are incorrect:
A: Using detailed explanations may overwhelm the client with OCD and contribute to increased anxiety.
B: Maintaining a stimulating environment may exacerbate symptoms by increasing distractions and potential triggers.
D: Limiting time for rituals can be too restrictive and may lead to increased anxiety and distress for the client.
Question 4 of 5
A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
Correct Answer: B
Rationale: The correct answer is B: A client who has repeated acute care admissions due to schizophrenia. ACT is designed for individuals with severe mental illness like schizophrenia who have difficulty engaging in traditional outpatient services. Clients with repeated acute care admissions likely need more intensive and holistic support provided by ACT teams. Referrals for major depressive disorder (choice
A) typically involve individual therapy and medication management. Family therapy (choice
C) may be appropriate for grief counseling but not necessarily for ACT. Physical injuries from partner violence (choice
D) may require medical attention and support services, but not specifically ACT.
Question 5 of 5
A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct behaviors to expect in a child with autism spectrum disorder are lack of eye contact, constant spinning of a toy, and withdrawal from physical contact. Lack of eye contact is a common characteristic in individuals with autism, as they may have difficulty with social interactions. Constant spinning of a toy is a repetitive behavior often seen in children with autism as a way to self-soothe or seek sensory stimulation. Withdrawal from physical contact can occur due to sensory sensitivities or difficulty with communication. Inability to play quietly (choice
B) is not a specific behavior associated with autism. The child may have difficulty with social interactions, but this does not necessarily result in inability to play quietly.