ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply)
Correct Answer: B,D,E
Rationale: Age over 55, male gender, and schizophrenia increase suicide risk due to stressors, statistics, and severe symptoms, respectively. Marriage is protective, and education isn’t a direct risk.
Question 2 of 5
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Correct Answer: D
Rationale: Not acknowledging the client’s status protects confidentiality by neither confirming nor denying their presence, avoiding any disclosure. Sending information without consent breaches privacy, mentioning consent implies client status, and refusing information still suggests client involvement.
Question 3 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 4 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 involves the nurse projecting personal feelings, here seeing the client as a grandparent. Empathy shares feelings without projection, transference is client-driven, and modeling involves behavior demonstration, not emotional projection.
Question 5 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.