ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: Displacement shifts anger from partner to nurse. Denial rejects reality, compensation offsets, rationalization justifies.
Question 2 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The nurse has a legal and ethical duty to report threats of harm to others, prioritizing safety over confidentiality. Extending stay is secondary, risk management is not immediate, and confidentiality does not apply here.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: Lack of sleep is a mania hallmark. Isolation, detailed schedules, and refusal suggest depression.
Question 4 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: Asking about adverse effects addresses barriers empathetically. Goals dismiss, adding meds premature, threats resist.
Question 5 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Frequent documentation ensures safety and compliance. Food/fluids and vitals are less frequent, prescription is urgent but secondary.