ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?
Correct Answer: A
Rationale: Feelings are central to the psychological domain, guiding emotional care. Cultural groups and family functioning are social, and sleep patterns are biological, not psychological.
Question 2 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 occurs when the nurse projects personal feelings onto the client, here treating them as a grandparent. Empathy involves understanding feelings, transference is the client projecting onto the nurse, and modeling is demonstrating behaviors, none of which fit the scenario.
Question 3 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 4 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 5 of 5
A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
Correct Answer: A
Rationale: Haloperidol commonly causes extrapyramidal symptoms (e.g., tremors, rigidity). Hiccups, salivation, and fever (except in rare NMS) aren’t typical side effects.