ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: This statement offers hope, noting treatment improves quality of life despite persistent symptoms. Questioning value is confrontational, claiming full symptom elimination is misleading, and suggesting a group home is discouraging.
Question 2 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
Correct Answer: A
Rationale: Haloperidol commonly causes extrapyramidal symptoms (e.g., tremors, rigidity). Hiccups, salivation, and fever (except in rare NMS) aren’t typical side effects.
Question 4 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, 'You are all making fun of me!' The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: Ideas of reference involve believing neutral events, like laughter, are personally directed, as the client misinterprets the group’s reaction. Delusions of grandeur inflate self-importance, loose association disrupts thought connections, and magical thinking assumes unrealistic control, none fitting the scenario.
Question 5 of 5
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Correct Answer: D
Rationale: Not acknowledging the client’s status protects confidentiality by neither confirming nor denying their presence, avoiding any disclosure. Sending information without consent breaches privacy, mentioning consent implies client status, and refusing information still suggests client involvement.