ATI RN
ATI Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Makes inappropriate sexual comments. This behavior is concerning as it could indicate hypersexuality, a common symptom of mania. The nurse should report this to the provider for further assessment and intervention. Speaking in rhyming sentences (
B) is a common feature of mania but not as urgent to report. Not bathing for 2 days (
C) may also be due to mania, but it is not as critical as the inappropriate sexual comments. Reporting eating habits (
A) is important but not as urgent as addressing the sexual comments.
Question 2 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C, Recent head injury. This is important to report because bupropion is contraindicated in patients with a history of seizures or head trauma. The medication can lower the seizure threshold, increasing the risk of seizures in such patients. Reporting this finding is crucial to ensure the safety of the client. Hypothyroidism (choice
A) does not have a direct contraindication with bupropion. Knee arthroplasty (choice
B) and Hepatitis B infection (choice
D) are not contraindications for bupropion use.
Question 3 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "It must be frightening to think that someone is reading your mail." This response shows empathy and acknowledges the client's feelings without directly challenging their belief. It validates the client's emotions and helps build trust in the therapeutic relationship.
Explanation for incorrect choices:
A: This response directly challenges the client's belief, which may lead to the client becoming defensive or feeling invalidated.
B: This response focuses on the physical aspect of the mail being sealed, which does not address the client's emotional distress.
D: This response asks a probing question that may come off as confrontational and may make the client feel judged or interrogated.
Question 4 of 5
A nurse is assessing a client’s communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: The correct answer is A: Generalizing. The client's statement "My partner is always criticizing me" is a generalization because it uses the absolute term "always," which implies a consistent negative behavior. This can lead to misunderstandings and exaggeration of the issue. The other choices are incorrect because: B. Manipulating involves controlling or influencing others, which is not evident in the client's statement. C. Distracting involves diverting attention from the main issue, which is not present here. D. Placating involves trying to please or appease others, which is not demonstrated in the client's statement.
Question 5 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:
Correct
Answer: C. Ask the client if the medication is causing adverse effects.
Rationale: This is the correct answer because assessing for adverse effects can help identify potential reasons for non-adherence. By understanding if the medication is causing discomfort or unwanted side effects, the nurse can address these concerns and work with the client to find solutions, such as adjusting the dosage or trying a different medication.
Incorrect
Choices:
A: Discussing provider goals may not directly address the client's reasons for non-adherence.
B: Requesting a second medication may increase complexity and potential side effects without addressing the root cause of non-adherence.
D: Threatening admission to an inpatient facility is coercive and unlikely to address the underlying issues leading to non-adherence.