ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Waking the client at the same time each morning establishes a consistent sleep-wake cycle, improving sleep patterns. Black teaβs caffeine can worsen sleep. Walking before bed helps but is secondary to routine. Long naps can disrupt nighttime sleep.
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: A
Rationale: Serotonin deficiency is a key risk factor for depression, affecting mood regulation. Acute bronchitis and elevated calcium are not directly linked, and being an only child lacks evidence as a risk factor.
Question 3 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 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 admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct Answer: C
Rationale: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.