ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 2 of 5
A nurse in a mental health facility is preparing to interview a client who has schizophrenia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Start the interview with a question the client can answer with “yes” or "no." This approach is appropriate for clients with schizophrenia as it allows for easier engagement and communication. By starting with closed-ended questions, the nurse can establish rapport, build trust, and help the client feel comfortable. Options A and D may be too intimidating or intrusive for a client with schizophrenia. Option B, placing the client in a higher chair, may create a power dynamic that could be perceived negatively. Options E, F, and G are not provided, but based on the context, they would likely not be appropriate for engaging with a client with schizophrenia.
Question 3 of 5
A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Assess the client's intent and suicide risk. This is the first action the nurse should take to ensure the client's safety. By assessing the client's intent and suicide risk, the nurse can determine the severity of the situation and provide appropriate intervention. This step is crucial in addressing the immediate risk of harm to the client.
Choice A is incorrect because implementing the client's behavioral modification plan is not the priority when the client is at risk of self-harm.
Choice B is incorrect as documenting the cuts is important but not the first priority when the client's safety is in question.
Choice D is incorrect as administering a tetanus antitoxin is not necessary in this situation and does not address the immediate risk of harm.
In summary, assessing the client's intent and suicide risk is the first step to ensure the client's safety, while the other choices do not address the immediate risk of self-harm.
Question 4 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: C
Rationale: The correct answer is C: Plan the client's schedule to allow time for rituals. This is the most appropriate action because accommodating the client's compulsive behaviors by incorporating time for rituals into their schedule can help reduce anxiety and maintain a sense of control for the client. Isolating the client (
A) can worsen their symptoms and is not therapeutic. Confronting the client (
B) about the senseless nature of their behaviors may increase their anxiety and resistance to treatment. Setting strict limits on behaviors (
D) can lead to increased distress and potential escalation of symptoms.
Question 5 of 5
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Correct Answer: A
Rationale: The correct answer is A: Mental Status Examination (MSE). This is a crucial part of the assessment for a suspected cognitive disorder in older adults. The MSE evaluates cognitive functions such as orientation, memory, attention, language, and executive functions. It helps in identifying any cognitive deficits and provides a baseline for monitoring changes over time.
Brief Patient Health Questionnaire (Brief PHQ) (
B), Abnormal Involuntary Movements Scale (AIMS) (
C), and Scale for Assessment of Negative Symptoms (SANS) (
D) are not appropriate for assessing cognitive disorders. The Brief PHQ is used for screening depression, AIMS for monitoring movement disorders, and SANS for assessing negative symptoms in psychiatric disorders. These tools do not directly evaluate cognitive functions.