ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse’s priority response?
Correct Answer: C
Rationale: The correct answer is C: "Have you thought of harming yourself?" because it addresses the immediate safety concern of suicidal ideation. It is crucial to assess the client's risk of self-harm or suicide first.
Choice A is not a direct inquiry about self-harm.
Choice B focuses on the current situation but does not address the suicidal statement.
Choice D is more about exploring the history of depressive symptoms rather than assessing immediate risk.
Question 2 of 5
A nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder are at an increased risk for suicide. The nurse must ensure the client's safety by closely monitoring for any signs of self-harm or suicidal ideation. Administering antidepressants (
B) may be important for long-term management but ensuring immediate safety takes precedence. Encouraging fluid intake (
C) and assisting with activities of daily living (
D) are important aspects of care but do not address the immediate risk of self-harm.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Correct Answer: A, B, C, E
Rationale:
Correct
Answer: A, B, C, E
Rationale:
A: Difficulty relaxing is an expected finding in OCD due to persistent intrusive thoughts causing anxiety and tension.
B: Irrational fear of certain objects is common in OCD, leading to compulsive behaviors to reduce anxiety.
C: Rule-conscious behavior is a characteristic of OCD where individuals feel compelled to follow specific routines or rules.
E: Perfectionist behavior is a common trait in OCD as individuals strive for perfection to alleviate anxiety.
Incorrect
Choices:
D: Individuals with OCD are usually aware of their compulsions, distinguishing them from other disorders.
F, G: No additional choices provided.
Summary:
The correct answers (A, B, C, E) align with the typical symptoms of OCD, including anxiety, compulsions, rule-following, and perfectionism. The incorrect choices (D, F, G) do not accurately reflect the expected findings in OCD.
Question 4 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It sounds like you’re having a difficult time." This response shows empathy and validation towards the client's feelings, which can help build rapport and trust. It acknowledges the client's emotions without making assumptions or judgments. It opens up the conversation for the client to further express their concerns and feelings.
Option B is incorrect because it assumes the client has not talked to their parents yet, which may not be the case and can invalidate the client's feelings. Option C is incorrect as it puts the client on the spot and may come off as confrontational. Option D is incorrect as it focuses on the duration rather than addressing the client's current emotional state.
Question 5 of 5
A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E. A: Wearing necklaces can be used as a weapon or trigger aggressive behavior. B: Knowing the facility layout helps in planning safe exits during an escalating situation. E: Providing immediate verbal feedback can help de-escalate aggressive behavior. C: Standing directly in front of the client can be confrontational. D: Bringing security for all interactions may escalate tension unnecessarily.