ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.
Question 2 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.
Question 3 of 5
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
Correct Answer: D
Rationale: Privilege systems use behavioral theories, reinforcing desired behaviors with rewards (operant conditioning). Developmental theories focus on growth stages, humanistic on self-actualization, and cognitive on thought processes, none central to privilege systems.
Question 4 of 5
A nurse is developing a plan of care integrating Maslow's hierarchy of needs. Which area would the nurse identify as the priority?
Correct Answer: B
Rationale: Maslow’s hierarchy prioritizes physiological needs like food for survival before addressing safety (social environment), esteem (self-image), or belonging (family acceptance). Adequate food is foundational.
Question 5 of 5
A nurse is explaining advance care directives, or 'living wills,' to a client and the client's spouse. Which detail would the nurse include in the description of an advance care directive?
Correct Answer: A
Rationale: An advance care directive specifies medical treatments a client wishes to receive or avoid if incapacitated, guiding healthcare decisions. No attorney presence is required for signing, attorneys aren’t mandatory for drafting, and physicians don’t need to witness signatures; witnesses ensure voluntary signing.