ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?
Correct Answer: D
Rationale: A WBC count of 3,300/mm^3 indicates leukopenia, a contraindication due to chlorpromazine’s risk of agranulocytosis. Slightly elevated glucose, hypertension, or asthma don’t preclude use but require monitoring.
Question 2 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.
Question 3 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, 'You are all making fun of me!' The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: Ideas of reference involve believing neutral events, like laughter, are personally directed, as the client misinterprets the group’s reaction. Delusions of grandeur inflate self-importance, loose association disrupts thought connections, and magical thinking assumes unrealistic control, none fitting the scenario.
Question 4 of 5
When describing the continuum of care for mental health, which would the nurse identify as the primary goal?
Correct Answer: D
Rationale: The least restrictive environment promotes independence and normalcy, the primary goal. Crisis care, case management, and coordination support this but aren’t the overarching aim.
Question 5 of 5
A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply.)
Correct Answer: C,E,F
Rationale: Disorganized behavior, hallucinations, and lack of emotional expression (affective flattening) are DSM-5 criteria. Impaired relationships and avolition are secondary, and antisocial personality is a separate condition.