ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is explaining advance care directives, or 'living wills,' to a client and the client's spouse. Which detail would the nurse include in the description of an advance care directive?
Correct Answer: A
Rationale: An advance care directive specifies medical treatments a client wishes to receive or avoid if incapacitated, guiding healthcare decisions. No attorney presence is required for signing, attorneys aren’t mandatory for drafting, and physicians don’t need to witness signatures; witnesses ensure voluntary signing.
Question 2 of 5
A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?
Correct Answer: C
Rationale: Assessment involves gathering data, like family history, to inform diagnosis and care. Implementation executes interventions, evaluation assesses outcomes, and planning sets goals, all following assessment.
Question 3 of 5
A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?
Correct Answer: D
Rationale: A WBC count of 3,300/mm^3 indicates leukopenia, a contraindication due to chlorpromazine’s risk of agranulocytosis. Slightly elevated glucose, hypertension, or asthma don’t preclude use but require monitoring.
Question 4 of 5
A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply)
Correct Answer: B,D,E
Rationale: Age over 55, male gender, and schizophrenia increase suicide risk due to stressors, statistics, and severe symptoms, respectively. Marriage is protective, and education isn’t a direct risk.
Question 5 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.