ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Grandiosity, flight of ideas, and hyperactivity are hallmark symptoms of mania, involving inflated self-importance, rapid speech, and excessive energy. Splitting is associated with borderline personality disorder, and withdrawal is typical of depression, not mania.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client’s statement indicates a desire to self-harm, suggesting a risk of self-mutilation. Illusions involve misinterpreting real stimuli, and hallucinations involve false perceptions, neither indicated here. Attention-seeking behavior is less urgent than the clear risk of self-harm.
Question 3 of 5
A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct Answer: C
Rationale: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.
Question 4 of 5
A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child's parent states, 'My partner got fired today and came home angry. I don't think this will happen again.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Expressing a desire to learn more and talk allows the nurse to assess the situation thoroughly and provide support. Agreeing it won’t happen again dismisses risk. Suggesting charges or calling police prematurely escalates without full context.
Question 5 of 5
A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: Histrionic personality disorder is marked by excessive emotionality and attention-seeking behavior. Individuals with this disorder often engage in inappropriate sexually seductive or provocative behavior to draw attention, aligning with the described behaviors. Paranoid personality disorder involves distrust and suspicion, not attention-seeking. Narcissistic personality disorder focuses on grandiosity and admiration, not flirtatious behavior. Antisocial personality disorder involves disregard for others' rights, not flirtatious actions.