ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 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: Affective flattening, reduced emotional expression, is a negative symptom. Bizarre behavior, delusions, and illogicality are positive symptoms, reflecting added abnormal experiences.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client's statement, 'Give me your pen to cut the pain out of my chest,' explicitly indicates a desire to self-harm, pointing to a risk for self-mutilation. An illusion involves misinterpreting real stimuli, a hallucination involves false sensory perceptions, and attention-seeking behavior seeks attention without intent to harm. Self-mutilation aligns with the intent to alleviate emotional distress through physical harm.
Question 3 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 4 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.
Question 5 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: Akathisia, a side effect of first-generation antipsychotics, causes restlessness and pacing, matching the client’s behavior. NMS involves fever and rigidity, tardive dyskinesia causes involuntary movements, and thermoregulation issues don’t cause pacing.