ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Social withdrawal is a prodromal symptom of schizophrenia, an early warning. Vague responses lack clarity, introversion shifts focus, and suggesting avoidance is judgmental, all less helpful.
Question 2 of 5
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Correct Answer: A
Rationale: Countertransference occurs when the nurse projects personal feelings onto the client, here treating them as a grandparent. Empathy involves understanding feelings, transference is the client projecting onto the nurse, and modeling is demonstrating behaviors, none of which fit the scenario.
Question 3 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: Limiting questions reduces overwhelm and paranoia, aiding assessment. Seclusion is extreme, touch may be misinterpreted, and confronting delusions risks distress, all less therapeutic.
Question 4 of 5
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Correct Answer: A,E
Rationale: Anhedonia (inability to feel pleasure) and blunt affect (reduced emotional expression) are negative symptoms, reflecting diminished functions. Hallucinations and delusions are positive symptoms, adding abnormal experiences, and poor judgment is a cognitive issue, not a negative symptom.
Question 5 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.