ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Limit the number of questions asked during assessments. This is important because clients with schizophrenia may become overwhelmed or agitated with too many questions, exacerbating their symptoms. By limiting questions, the nurse can help reduce stress and anxiety for the client.
A: Placing the client in seclusion may escalate feelings of paranoia and worsen hallucinations.
C: Using frequent touch may not be appropriate as some clients with schizophrenia may have sensory sensitivities.
D: Directly telling the client that delusions are not real may lead to confrontation and may not be effective in changing the client's beliefs.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for the past few weeks. During group therapy, the nurse notes that the client is getting up and pacing around the room. The client is cooperative. Upon further evaluation, the client says, 'I just need to move around, but I feel fine.' Which of the following is the client experiencing?
Correct Answer: B
Rationale: The client is experiencing akathisia, which is characterized by restlessness and a compelling need to move. This can be a side effect of first-generation antipsychotic medications. The client's behavior of getting up and pacing around the room aligns with the symptoms of akathisia. The client's statement of feeling fine but needing to move suggests an inner restlessness rather than a physical discomfort. Neuroleptic malignant syndrome presents with fever, muscle rigidity, and altered mental status, which are not exhibited by the client. Tardive dyskinesia involves involuntary movements of the face and limbs, which are not observed in this scenario. Impaired ability to regulate body temperature is not relevant to the client's behavior.
Therefore, the correct answer is B: Akathisia.
Question 3 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: The correct answer is A: Feelings. In the biopsychosocial model, the psychological domain focuses on understanding the individual's emotional experiences, such as mood, thoughts, and behaviors. By addressing the client's feelings, the nurse can gain insights into their mental health status and provide appropriate interventions. Cultural groups (
B) pertain to the sociocultural domain, family functioning (
C) falls under the social domain, and sleep patterns (
D) are part of the biological domain. These options are not directly related to the psychological domain, making them incorrect in this context.
Question 4 of 5
The nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions?
Correct Answer: B
Rationale: The correct answer is B: False imprisonment. The nurse could be liable for false imprisonment because physically restraining a voluntarily admitted client against their will constitutes a deprivation of their freedom. This action could be seen as unlawful confinement, leading to potential legal consequences for the nurse.
A: Libel involves making false written statements that harm someone's reputation, which is not applicable in this situation.
C: Medical beneficence refers to the duty to act in the best interest of the patient, but applying physical restraints in this scenario may not align with beneficence principles.
D: Autonomy relates to respecting a patient's right to make their own decisions about their care, which is violated by restraining the client against their will.
Question 5 of 5
A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Correct Answer: C
Rationale: The correct answer is C: Affective flattening. This is a negative symptom of schizophrenia characterized by a lack of emotional expression. The nurse should identify this as a negative symptom because it represents a reduction or absence of normal behaviors or emotions. Bizarre behavior (
A) is a positive symptom involving abnormal behaviors. Somatic delusions (
B) are also positive symptoms involving false beliefs. Illogicality (
D) is a cognitive symptom involving disorganized thinking.