ATI RN
ATI Mental Health Quiz Questions
Extract:
Question 1 of 5
A patient on the psychiatric unit took his first dose of chlorpromazine last night. The following morning, he approaches the nursing station complaining of severe spasms in his neck and back. The psych nurse informs the provider, and can expect an order for which medication?
Correct Answer: D
Rationale: Severe spasms are likely extrapyramidal symptoms (EPS) from chlorpromazine, a typical antipsychotic. Benztropine (
D), an anticholinergic, treats EPS. Olanzapine and fluphenazine (A,
C) are antipsychotics, and flumazenil (
B) is for benzodiazepine overdose, not EPS.
Question 2 of 5
The admitting nurse asks a client, 'Hi John, what would you like to talk about in group today?' The client replies, 'Hi john, what would you like to talk about in group today.' The nurse should recognize this response as an example of which of the following?
Correct Answer: A
Rationale: Echolalia is the repetition of another’s words, as seen in the client’s verbatim response (
A). Word salad (
B) is incoherent speech, flight of ideas (
C) involves rapid topic shifts, and clanging (
D) involves sound-based word choices.
Extract:
Nurses' Notes
1000:
Client became upset in activity room because they lost a card game.
Client yelled at other clients stating. "They always cheat me!”
Client walks to their room and sits on bed.
1015:
Client returns to activity room; posture tense, fists clenched, and yells and uses obscenities toward staff members and other clients.
Asked client to calm down, explained consequences of their inappropriate behavior, and to share what took place. Maintained safe distance and asked client to have seat to talk about their anger.
Client's behavior continues to escalate.
Question 3 of 5
Client's behavior continues to escalate. A nurse is caring for a client in an inpatient psychiatry unit, Drag words from the choices below to fill in each blank in the following sentence ,Which of the following actions should the nurse take first? The nurse should ___ followed by ___.
Correct Answer: C,D
Rationale: Offering a physical outlet (
C) like walking helps release energy non-threateningly, followed by medication (
D) if agitation persists. Restraints (
A) and physical contact (
B) risk escalation and are last resorts.
Extract:
Question 4 of 5
A client is experiencing a severe psychotic episode, and is newly admitted to the psychiatric unit. Which action by the nurse should be priority?
Correct Answer: A
Rationale: Safety is the priority during a severe psychotic episode, as unpredictable behavior may lead to self-harm or harm to others. Providing diagnosis information (
B), family therapy (
C), or requesting medication (
D) are secondary to ensuring immediate physical safety.
Question 5 of 5
A client states to the nurse, 'I'm using my telepathic brain power to force the doctor to discharge me.' This is likely an example of which delusion?
Correct Answer: C
Rationale: Magical thinking involves believing one’s thoughts can control external events, like using telepathy to influence a discharge (
C). Grandeur (
A) involves exaggerated self-importance, persecution (
B) involves being targeted, and thought withdrawal (
D) involves thoughts being removed.