ATI RN
ATI Mental Health Nursing 12601 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with major depressive disorder in a residential facility who refuses to participate in therapies because their parent did not answer the phone when the client called the previous evening. The client told the nurse, 'I know they are mad at me.' The nurse asks the client, 'Are there other reasons you can think of that could have caused your parent not to answer the phone last evening?' In this statement, the nurse is using which type of therapy?
Correct Answer: A
Rationale: Rational Emotive Therapy challenges irrational beliefs, like assuming the parent’s anger, by exploring alternative explanations, as the nurse does. Cognitive Theory (
B) is broader, Reality Therapy (
C) focuses on responsibility, and Gestalt Therapy (
D) emphasizes present awareness.
Question 2 of 5
A nurse is completing an 8-hr 180 record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: 782
Rationale:
Total intake: 4 oz juice (118.28 mL) + 6 oz tea (177.42 mL) + 100 mL ice chips + 150 mL IV bolus + 8 oz broth (236.56 mL) = 782.26 mL, rounded to 782 mL.
Question 3 of 5
A nurse and client are engaged in a discussion. The client says, 'I feel really close to you. You are the only true friend I have.' Which response by the nurse would be most therapeutic?
Correct Answer: C
Rationale: Validating the client’s trust while reinforcing the therapeutic relationship’s purpose (
C) is supportive and professional. A redirects prematurely, B is harsh, and D minimizes the client’s feelings.
Question 4 of 5
A nurse is analyzing a client's diagnosis list and medication list. Which medication class can be effectively in treating manic episodes with bipolar disorder?
Correct Answer: B
Rationale: Mood-stabilizing drugs (e.g., lithium, valproate) are first-line for manic episodes, stabilizing mood swings. Antidepressants (
A) risk triggering mania, antipsychotics (
C) are adjunctive, and anxiolytics (
D) manage anxiety, not mania.
Question 5 of 5
An adolescent client has just been found to have broken one of the unit rules. The nurse imposes the consequence of losing phone privileges. In this instance, the nurse is acting as the:
Correct Answer: A
Rationale: By imposing consequences for rule-breaking, the nurse acts as a parent surrogate, providing structure and discipline similar to a parental role. Caregiver focuses on physical/emotional care, advocate on rights, and teacher on education, none of which fit as directly.