ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is talking with a client who has schizophrenia. Suddenly the client states, 'I'm frightened. Do you hear that? The voices are telling me to do terrible things.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Asking what the voices say assesses potential risks (e.g., harm) while showing empathy, aiding safety planning. Denying voices dismisses the client’s reality, questioning causes may confuse, and commanding control is ineffective for hallucinations.
Question 2 of 5
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Correct Answer: A
Rationale: Countertransference occurs when the nurse projects personal feelings onto the client, here treating them as a grandparent. Empathy involves understanding feelings, transference is the client projecting onto the nurse, and modeling is demonstrating behaviors, none of which fit the scenario.
Question 3 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 4 of 5
A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)
Correct Answer: A,C,D
Rationale: EEG monitors brain activity, cardiac monitors track heart function, and blood pressure monitors detect cardiovascular changes, all critical for ECT safety. Ophthalmoscopes examine eyes, and X-ray machines image bones, irrelevant to ECT.
Question 5 of 5
A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Driving away ensures the nurse’s safety from a potentially dangerous situation, allowing authorities to intervene. Honking or speaking risks escalation, and stopping in the driveway is unsafe.