ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: ECT is delivered through electrodes attached to the head. This statement is essential to include in the teaching because it accurately describes how ECT is administered. Electrodes are placed on the patient's scalp to deliver electrical impulses to the brain, inducing a seizure. This process is crucial for the therapeutic effects of ECT.
Choice A is incorrect because ECT can be used in clients with psychotic symptoms, especially if medication has not been effective.
Choice C is incorrect because ECT can be considered for clients with suicidal ideation, particularly in severe cases where rapid intervention is needed.
Choice D is incorrect because ECT is typically conducted under general anesthesia, not regional anesthesia.
Question 2 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a structured schedule of daily activities. This is important for clients with obsessive-compulsive disorder as it helps establish predictability and routine, which can reduce anxiety and provide a sense of control. Structured activities can help the client focus their energy and attention away from obsessive thoughts and compulsive behaviors.
Other choices are incorrect:
A: Using detailed explanations may overwhelm the client with OCD and contribute to increased anxiety.
B: Maintaining a stimulating environment may exacerbate symptoms by increasing distractions and potential triggers.
D: Limiting time for rituals can be too restrictive and may lead to increased anxiety and distress for the client.
Question 3 of 5
A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct behaviors to expect in a child with autism spectrum disorder are lack of eye contact, constant spinning of a toy, and withdrawal from physical contact. Lack of eye contact is a common characteristic in individuals with autism, as they may have difficulty with social interactions. Constant spinning of a toy is a repetitive behavior often seen in children with autism as a way to self-soothe or seek sensory stimulation. Withdrawal from physical contact can occur due to sensory sensitivities or difficulty with communication. Inability to play quietly (choice
B) is not a specific behavior associated with autism. The child may have difficulty with social interactions, but this does not necessarily result in inability to play quietly.
Question 4 of 5
A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with schizophrenia reporting command hallucinations first as it indicates a high risk of harm to self or others. Command hallucinations are auditory hallucinations that instruct the individual to engage in harmful behaviors. Assessing this client first ensures immediate safety.
Choice A is incorrect because splitting behaviors in borderline personality disorder do not present an immediate risk of harm.
Choice C is incorrect as a fine hand tremor is a common side effect of lithium and can be assessed later.
Choice D is incorrect as dry mouth from nicotine is not urgent compared to potential harm from command hallucinations.
Question 5 of 5
A nurse is providing teaching to a client who has a prescription for disulfiram. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: If I drink alcohol I will become very sick. This statement indicates an understanding of the teaching because disulfiram is a medication used to treat alcohol use disorder by causing unpleasant effects if alcohol is consumed. Becoming very sick is one of the main side effects of drinking alcohol while taking disulfiram.
Choice B is incorrect because difficulty falling asleep is not a common side effect of disulfiram.
Choice C is incorrect as disulfiram does not affect inhibitions in the way described.
Choice D is incorrect as severe mood swings are not a typical side effect of disulfiram.