ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, 'You are all making fun of me!' The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: Ideas of reference involve believing neutral events, like laughter, are personally directed, as the client misinterprets the group’s reaction. Delusions of grandeur inflate self-importance, loose association disrupts thought connections, and magical thinking assumes unrealistic control, none fitting the scenario.
Question 2 of 5
A woman comes into the Emergency Department in a severe state of anxiety following a car accident. The appropriate nursing intervention is to:
Correct Answer: C
Rationale: Remaining with the client provides immediate comfort and safety, stabilizing severe anxiety post-trauma. Quiet rooms reduce stimuli, breathing requires focus, and talking may overwhelm initially.
Question 3 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: This statement offers hope, noting treatment improves quality of life despite persistent symptoms. Questioning value is confrontational, claiming full symptom elimination is misleading, and suggesting a group home is discouraging.
Question 4 of 5
When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?
Correct Answer: A
Rationale: Feelings are central to the psychological domain, guiding emotional care. Cultural groups and family functioning are social, and sleep patterns are biological, not psychological.
Question 5 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.