ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?
Correct Answer: D
Rationale: The correct answer is D because using a kitchen timer to mark the end of the time-out period is a crucial aspect of implementing time-out effectively. This shows that the parent understands the importance of setting a specific duration for the time-out, which helps the child learn from the consequence of their behavior without feeling abandoned or isolated.
A: This choice does not specify the duration of the time-out, which is essential for consistency and effectiveness.
B: Sending the child to their room does not necessarily indicate a structured time-out process.
C: Giving warnings before using time-out may undermine the effectiveness of the technique as it provides opportunities for the child to continue misbehaving.
Summary: The other choices lack the specificity and structure required for an effective time-out strategy.
Question 2 of 5
A nurse is providing teaching to a client who has a prescription for disulfiram. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: If I drink alcohol I will become very sick. This statement indicates an understanding of the teaching because disulfiram is a medication used to treat alcohol use disorder by causing unpleasant effects if alcohol is consumed. Becoming very sick is one of the main side effects of drinking alcohol while taking disulfiram.
Choice B is incorrect because difficulty falling asleep is not a common side effect of disulfiram.
Choice C is incorrect as disulfiram does not affect inhibitions in the way described.
Choice D is incorrect as severe mood swings are not a typical side effect of disulfiram.
Question 3 of 5
A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
Correct Answer: B
Rationale: The correct answer is B: A client who has repeated acute care admissions due to schizophrenia. ACT is designed for individuals with severe mental illness like schizophrenia who have difficulty engaging in traditional outpatient services. Clients with repeated acute care admissions likely need more intensive and holistic support provided by ACT teams. Referrals for major depressive disorder (choice
A) typically involve individual therapy and medication management. Family therapy (choice
C) may be appropriate for grief counseling but not necessarily for ACT. Physical injuries from partner violence (choice
D) may require medical attention and support services, but not specifically ACT.
Question 4 of 5
A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Answer B is correct because establishing a consistent wake-up time helps regulate the client's circadian rhythm, promoting better sleep. Waking up at the same time each morning helps set the body's internal clock, improving sleep quality. This routine can also enhance the client's overall well-being and cognitive function.
Option A is incorrect because black tea contains caffeine, which can disrupt sleep. Option C may be beneficial during the day but may not directly address sleep disturbances. Option D allowing a long nap after lunch could interfere with the client's ability to fall asleep at night.
Question 5 of 5
A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?
Correct Answer: C
Rationale: The correct answer is C: Memory deficit. ECT can cause short-term memory loss due to the electrical stimulation affecting the brain's functioning. The nurse should monitor the client for any signs of memory impairment post-treatment. Voice alteration (
A), neck pain (
B), and headache (
D) are less common adverse effects of ECT compared to memory deficits. It is crucial for the nurse to focus on closely monitoring the client for memory deficits as it is a prominent concern associated with ECT.