ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder?
Correct Answer: A
Rationale: Family concern about drinking indicates potential alcohol use disorder.
Question 2 of 5
A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Command hallucinations pose an immediate risk requiring urgent assessment.
Question 3 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 biological risk factor for major depressive disorder as it affects mood regulation.
Question 4 of 5
A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?
Correct Answer: A
Rationale: Dissociation is a defense mechanism where a person disconnects from their thoughts feelings memories or sense of identity to cope with trauma manifesting as inability to recall event details in PTSD.
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: Lack of eye contact spinning toys and withdrawal are common in autism.