ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 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 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 exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: Histrionic personality disorder is marked by excessive emotionality and attention-seeking behavior. Individuals with this disorder often engage in inappropriate sexually seductive or provocative behavior to draw attention, aligning with the described behaviors. Paranoid personality disorder involves distrust and suspicion, not attention-seeking. Narcissistic personality disorder focuses on grandiosity and admiration, not flirtatious behavior. Antisocial personality disorder involves disregard for others' rights, not flirtatious actions.
Question 4 of 5
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: Therapeutic communication validates feelings and encourages dialogue. 'Let’s discuss how to get you the help you need' opens a supportive conversation. Suggesting a sleeping pill or dismissing fatigue is non-therapeutic. Asking about family assistance is practical but less engaging emotionally.
Question 5 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 tea’s caffeine can worsen sleep. Walking before bed helps but is secondary to routine. Long naps can disrupt nighttime sleep.