ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
When describing the continuum of care for mental health, which would the nurse identify as the primary goal?
Correct Answer: D
Rationale: The least restrictive environment promotes independence and normalcy, the primary goal. Crisis care, case management, and coordination support this but aren’t the overarching aim.
Question 2 of 5
A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?
Correct Answer: D
Rationale: Checking the mouth ensures medication adherence, critical for paranoid schizophrenia due to potential mistrust. Feeding assistance is unnecessary, touch may heighten paranoia, and rotating staff disrupts trust.
Question 3 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Quick-release ties ensure safety by allowing rapid removal if needed. Checking every 2 hours (not 4), securing to the bed frame (not side rail), and fitting two fingers (not four) are standard.
Question 4 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, 'You are all making fun of me!' The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: Ideas of reference involve believing neutral events, like laughter, are personally directed, as the client misinterprets the group’s reaction. Delusions of grandeur inflate self-importance, loose association disrupts thought connections, and magical thinking assumes unrealistic control, none fitting the scenario.
Question 5 of 5
A nurse is talking with a client who has schizophrenia. Suddenly the client states, 'I'm frightened. Do you hear that? The voices are telling me to do terrible things.' Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Asking what the voices say assesses potential risks (e.g., harm) while showing empathy, aiding safety planning. Denying voices dismisses the client’s reality, questioning causes may confuse, and commanding control is ineffective for hallucinations.