ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 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: A client with somatic symptom disorder experiences excessive focus on physical symptoms. Assertiveness training can help them express needs effectively, reducing symptom focus. Delirium requires treating the underlying cause, not assertiveness training. Auditory hallucinations indicate psychosis, where symptom management is prioritized. Mania involves impulsivity, making training ineffective during acute episodes.
Question 2 of 5
A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Grandiosity, flight of ideas, and hyperactivity are hallmark symptoms of mania, involving inflated self-importance, rapid speech, and excessive energy. Splitting is associated with borderline personality disorder, and withdrawal is typical of depression, not mania.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
Correct Answer: B
Rationale: Fluoxetine, an SSRI, is a first-line treatment for depression, increasing serotonin levels. Midazolam is for sedation, cyclobenzaprine for muscle spasms, and valproic acid for mood stabilization, not depression.
Question 4 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: A client with somatic symptom disorder experiences excessive focus on physical symptoms. Assertiveness training can help them express needs effectively, reducing symptom focus. Delirium requires treating the underlying cause, not assertiveness training. Auditory hallucinations indicate psychosis, where symptom management is prioritized. Mania involves impulsivity, making training ineffective during acute episodes.
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: A structured schedule helps clients with OCD manage time and reduce compulsive behaviors by promoting routine. Detailed explanations are secondary, stimulating environments increase anxiety, and limiting ritual time is impractical without behavioral therapy.