ATI RN
ATI Mental Health Assessment I 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: ECT is delivered through electrodes attached to the head, inducing a controlled seizure to alleviate severe depression symptoms. ECT is not contraindicated for psychotic symptoms or suicidal ideation; it’s often used in these cases. It is performed under general, not regional, anesthesia.
Question 2 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: Bradypnea, or slow breathing, is a life-threatening side effect of diazepam and hydromorphone due to central nervous system depression. It requires immediate attention to prevent respiratory failure. Urinary retention, blurred vision, and headache, while concerning, are not as urgent.
Question 3 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Requesting an evaluation within 12 hours ensures the client’s condition is reassessed, and restraint necessity is reviewed. Documentation is ongoing, prolonged restraint use is inappropriate, and debriefing is secondary.
Question 4 of 5
A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
Correct Answer: A
Rationale: An unintentional tort, like negligence, occurs without intent to harm. Failing to clarify a prescription leading to a medication error is negligence. Posting private information, unauthorized restraints, and threats are intentional torts (breach of confidentiality, false imprisonment, and assault, respectively).
Question 5 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 indicates a desire to self-harm, suggesting a risk of self-mutilation. Illusions involve misinterpreting real stimuli, and hallucinations involve false perceptions, neither indicated here. Attention-seeking behavior is less urgent than the clear risk of self-harm.