ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 2 of 5
A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?
Correct Answer: B
Rationale: While a client with anorexia nervosa may require close monitoring and support, expressing a fear of gaining weight does not necessarily indicate an immediate safety concern that requires an update to the plan of care. Bipolar disorder can involve manic episodes characterized by impulsivity and risk-taking behaviors. Exhibiting poor impulse control indicates a potential safety concern that requires an update to the plan of care to ensure the client's safety and the safety of others. Clang associations in speech are a symptom of disorganized thinking commonly seen in schizophrenia. While it may indicate a need for intervention, it does not necessarily require an immediate update to the plan of care for safety reasons. Difficulty remembering names of family members is a symptom of Alzheimer's disease and may require ongoing support and management but does not present an immediate safety concern that requires an update to the plan of care.
Question 3 of 5
A nurse is assessing a client's communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, 'My partner is always criticizing me,' is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
Question 4 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
Question 5 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B, C, D
Rationale: Clients have the right to refuse medication, as part of their autonomy and informed consent rights. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity. Clients maintain the right to an attorney, ensuring their access to legal representation and support. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.