ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
Correct Answer: B
Rationale: ACT is designed for clients with severe mental illnesses like schizophrenia with frequent hospitalizations, providing intensive community support. Other conditions require different interventions.
Question 2 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 to induce a brief seizure, which can alleviate severe depressive symptoms. ECT is not contraindicated for psychotic symptoms or suicidal ideation and is performed under general, not regional, anesthesia.
Question 3 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 no-harm contract engages the client in their safety plan, reducing self-mutilation risk. Excessive attention may reinforce behaviors, restraints are a last resort, and limiting staff ensures consistency but is secondary.
Question 4 of 5
A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?
Correct Answer: C
Rationale: Fidelity involves respecting client autonomy and decisions, such as refusing group therapy. Equal time is justice, explaining adverse effects is veracity, and attending conferences is professional development.
Question 5 of 5
A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?
Correct Answer: C
Rationale: Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, this technique provides comfort and reduces distress by not challenging their beliefs. Cognitive reframing and thought stopping are not suitable for dementia delusions, and operant conditioning does not validate the client's experience.