ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
Correct Answer: C
Rationale: Social isolation and a negative peer outlook can be warning signs of depression and should be addressed.
Question 2 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE), the nurse should include which of the following data? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale:
Correct Answer: A, C, D, E
Rationale:
1. Ability to perform calculations: Assessing calculation skills can indicate cognitive functioning.
2. Recall ability: Testing recall assesses memory function, important in dementia evaluation.
3. Long-term memory: Evaluating long-term memory helps identify any significant memory deficits.
4. Level of orientation: Orientation to time, place, and person is crucial in assessing cognitive status.
Incorrect
Choices:
- Coping skills: While important, coping skills are not typically assessed in an MSE for dementia.
- (
Choices F and G are not provided in the question, so they are not applicable for evaluation in this context.)
Question 3 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer includes substance use disorder (
A), age greater than 45 years old (
B), and schizophrenia (E) as risk factors for suicide. Substance use disorder can lead to impaired judgment and increased impulsivity, increasing the risk of suicidal behavior. Individuals over 45 years old often face life changes such as retirement or health issues that can contribute to feelings of hopelessness. Schizophrenia is a severe mental illness associated with a higher risk of suicide due to symptoms such as hallucinations and delusions.
Choices C and D (female gender and currently married) are incorrect as suicide rates are higher in males and marital status alone does not determine suicide risk.
Question 4 of 5
A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Allowing the client to provide details at their own pace fosters a sense of control.
Question 5 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: Rationale for
Choice C being correct: The statement "I will develop a decreased physical response to alcohol" indicates an understanding of alcohol tolerance, where the body requires more alcohol to achieve the same effects. This demonstrates comprehension of the concept.
Summary of why other choices are incorrect:
A: Incorrect. Alcohol tolerance does not produce physical changes when alcohol is not ingested.
B: Incorrect. Alcohol tolerance does not affect the response to opiates.
D: Incorrect. Alcohol tolerance is not a medical emergency and is not solely a result of withdrawal.