ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
Correct Answer: C
Rationale: Failure to provide immunizations indicates neglect by not meeting the child's health needs. Jaw fractures suggest abuse, fear requires further investigation, and rocking is not specific to neglect.
Question 2 of 5
A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Correct Answer: C
Rationale: Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, this technique provides comfort and reduces distress by not challenging their beliefs. Cognitive reframing and thought stopping are not suitable for dementia delusions, and operant conditioning does not validate the client's experience.
Question 3 of 5
A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Risperidone is used to manage irritability and aggression in autism spectrum disorder. It does not cause low blood sugar, requires lab monitoring, and muscle spasms may indicate a side effect needing evaluation, not a dose increase.
Question 4 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: Memory deficits, especially short-term memory loss, are a well-documented adverse effect of ECT. Voice alteration and neck pain are not common, and headaches are less critical than memory issues.
Question 5 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Debriefing with staff ensures a team approach to managing the client's behavior, sharing insights and planning care. Documentation should be more frequent, restraints should be removed as soon as safe, and evaluation is needed sooner than 12 hours.