ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A woman comes into the Emergency Department in a severe state of anxiety following a car accident. The appropriate nursing intervention is to:
Correct Answer: C
Rationale: The nurse’s presence offers reassurance and safety, critical for acute anxiety. Quiet rooms help later, breathing techniques need calm focus, and discussing feelings may escalate distress initially.
Question 2 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: This statement offers hope, noting treatment improves quality of life despite persistent symptoms. Questioning value is confrontational, claiming full symptom elimination is misleading, and suggesting a group home is discouraging.
Question 3 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 client's statement, 'Give me your pen to cut the pain out of my chest,' explicitly indicates a desire to self-harm, pointing to a risk for self-mutilation. An illusion involves misinterpreting real stimuli, a hallucination involves false sensory perceptions, and attention-seeking behavior seeks attention without intent to harm. Self-mutilation aligns with the intent to alleviate emotional distress through physical harm.
Question 4 of 5
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Correct Answer: A
Rationale: Countertransference involves the nurse projecting personal feelings, here seeing the client as a grandparent. Empathy shares feelings without projection, transference is client-driven, and modeling involves behavior demonstration, not emotional projection.
Question 5 of 5
A nurse is caring for a client who has schizophrenia and has been taking a first-generation medication for the past few weeks. During group therapy, the nurse notes that the client is getting up and pacing around the room. The client is cooperative. Upon further evaluation, the client says, 'I just need to move around, but I feel fine.' Which of the following is the client experiencing?
Correct Answer: B
Rationale: Akathisia, a side effect of first-generation antipsychotics, causes restlessness and pacing, matching the client’s behavior. NMS involves fever and rigidity, tardive dyskinesia causes involuntary movements, and thermoregulation issues don’t cause pacing.