ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: A
Rationale: The Geriatric Depression Scale screens for depression, common in older adults, enhancing well-being. PAINAD is for dementia, CAGE for alcohol abuse, and Denver II for children, not broadly applicable here.
Question 2 of 5
A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Low stimuli reduce hallucination intensity and agitation. Eye contact builds trust, socialization may overwhelm, and touch could be misinterpreted.
Question 3 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization justifies blackouts with a false reason (low blood sugar). Suppression represses, sublimation redirects, projection attributes elsewhere.
Question 4 of 5
A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Symptoms suggest lithium toxicity, requiring blood tests. Improvement over time is false, continuing risks worsening, sodium reduction increases toxicity.
Question 5 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: D
Rationale: ECT effectively treats severe depression, improving mood. It’s not for phobias, induces seizures, and isn’t primary for BPD.