ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?
Correct Answer: A
Rationale: Assessing for psychotic thinking is the highest priority as it determines if the client is at risk for harm to self or others.
Question 2 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 3 of 5
A nurse is caring for an older adult client whose provider will discharge him to an extended-care nursing facility. The client asks the nurse why he has to go "to that place." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Encouraging discussion allows the client to express concerns and ensures they are informed about their care plan.
Question 4 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: A
Rationale: The correct answer is A: Affective flattening. Negative symptoms refer to deficits in normal emotional responses or behaviors. Affective flattening specifically involves a reduction in the range and intensity of emotional expression. This is commonly seen in individuals with schizophrenia and can impact their ability to communicate and engage with others. Bizarre behavior (choice
B), illogicality (choice
C), and somatic delusions (choice
D) are not negative symptoms but rather positive symptoms, which involve the presence of abnormal behaviors or beliefs. Bizarre behavior refers to actions that are unusual or out of the ordinary, illogicality refers to disorganized thinking, and somatic delusions involve false beliefs about the body.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor agitation. In major depressive disorder, psychomotor agitation is a common symptom characterized by restlessness, pacing, handwringing, or tapping. This is due to internal feelings of distress and anxiety. Dismissal of past failures (
A) is not a typical finding, as individuals with major depressive disorder often ruminate on past failures. An increase in energy (
C) is unlikely, as fatigue and low energy levels are common in depression.
Choices D, E, F, and G are not applicable.