ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: A structured schedule helps clients with OCD manage time and reduce compulsive behaviors by promoting routine. Detailed explanations are secondary, stimulating environments increase anxiety, and limiting ritual time is impractical without behavioral therapy.
Question 2 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: Bradypnea, or slow breathing, is a life-threatening side effect of diazepam and hydromorphone due to central nervous system depression. It requires immediate attention to prevent respiratory failure. Urinary retention, blurred vision, and headache, while concerning, are not as urgent.
Question 3 of 5
A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: ECT is delivered through electrodes attached to the head, inducing a controlled seizure to alleviate severe depression symptoms. ECT is not contraindicated for psychotic symptoms or suicidal ideation; it’s often used in these cases. It is performed under general, not regional, anesthesia.
Question 4 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 5 of 5
A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
Correct Answer: D
Rationale: A client with somatic symptom disorder experiences excessive focus on physical symptoms. Assertiveness training can help them express needs effectively, reducing symptom focus. Delirium requires treating the underlying cause, not assertiveness training. Auditory hallucinations indicate psychosis, where symptom management is prioritized. Mania involves impulsivity, making training ineffective during acute episodes.