ATI RN
ATI Mental Health NPRO 2000 Exam Questions
Extract:
Question 1 of 5
The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?
Correct Answer: D
Rationale: Believing nurses are spies is a delusion, a false belief. Hallucinations (
A) are sensory, anhedonia (
B) is pleasure loss, and illusions (
C) misinterpret stimuli.
Question 2 of 5
A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called which of the following?
Correct Answer: B
Rationale: Systematic desensitization uses gradual exposure with relaxation to reduce fear. Flooding (
A) is intense exposure, cognitive restructuring (
C) targets thoughts, and combination therapy (
D) is not specific.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and was prescribed fluoxetine 2 weeks ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: SSRIs like fluoxetine take 4-6 weeks for full effect. Changing medication (
B) is premature, MAOIs (
C) have risks, and a sleep study (
D) is not the priority.
Question 4 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: A
Rationale: Setting boundaries addresses disruptive behavior directly. Isolation (
B), community meetings (
C), or ignoring lies (
D) are less effective.
Question 5 of 5
The nurse is doing an admission assessment on a client with schizophrenia. Which of the following are positive symptoms of schizophrenia?
Correct Answer: B
Rationale: Disordered thinking (
B) is a positive symptom. Flat affect (
C), lack of initiative (E), and social withdrawal (F) are negative. Trouble concentrating (
D) is cognitive.