ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
Correct Answer: B
Rationale: The correct answer is B: Ensure the client's ex-partner is notified of the threat. This action is important for the safety of the potential victim and follows the duty to warn principle. It is crucial for the nurse to take steps to protect the ex-partner from harm. Keeping the client hospitalized indefinitely (
A) would violate their rights and is not a feasible solution. Asking a friend or family member to monitor the client (
C) is not a legal responsibility of the nurse and may not ensure the safety of the ex-partner. Transferring the client to a mental health facility (
D) may be necessary in some cases but does not directly address the immediate safety concern of the ex-partner.
Question 2 of 5
A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
Correct Answer: D
Rationale: The correct answer is D: A client who has somatic symptom disorder. Assertiveness training can help individuals with somatic symptom disorder effectively communicate their needs and boundaries. This training can empower them to express themselves clearly, reducing anxiety and improving self-esteem.
Incorrect
Choices:
A: A client with new-onset depression would benefit more from psychotherapy or medication management.
B: A client experiencing auditory hallucinations may require interventions focused on managing psychosis.
C: A client experiencing mania may need interventions to address impulsivity and mood stabilization.
Question 3 of 5
A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
Correct Answer: C
Rationale: The correct answer is C: The child has had no immunization since birth. This is indicative of possible child neglect because it suggests that the parents have not provided essential healthcare for the child, putting their health and well-being at risk. Failure to immunize can lead to serious preventable diseases and indicates a lack of proper care and attention from the parents.
A: The child has a history of jaw fractures - This is more indicative of physical abuse rather than neglect.
B: The child seems frightened of their parent - While this could be a red flag for possible abuse, it is not specific to neglect.
D: The child rocks back and forth continually - This behavior may indicate a developmental or psychological issue, but it is not directly related to neglect.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Self-mutilation. The client's statement indicates a desire to harm themselves, which is a common behavior in individuals with bipolar disorder. Self-mutilation is a serious concern as it can lead to physical harm. Delusion (
A) refers to a false belief, hallucination (
B) is a perception of something that is not present, and attention-seeking behavior (
C) is seeking attention inappropriately. These choices do not directly address the client's statement about cutting the pain out of their chest, making them incorrect.
Question 5 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a structured schedule of daily activities. For clients with OCD, having a structured schedule helps reduce anxiety and provides a sense of predictability. It helps them feel more in control and lessens the urge to engage in compulsive behaviors. Providing a routine also assists in managing time effectively and promoting a sense of accomplishment.
Choices A, B, and D are incorrect. A detailed explanation might overwhelm the client with OCD rather than help them. Maintaining a stimulating environment could exacerbate anxiety for someone with OCD. Limiting time for rituals to 30 minutes each day is not as effective as providing a structured schedule to manage symptoms throughout the day.