ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Viral infection. Chronic stress weakens the immune system, making the individual more susceptible to infections like viral illnesses. This is due to the prolonged release of stress hormones, which suppress immune function. Hypotension (
A) is unlikely as stress typically raises blood pressure. Increased energy (
C) is less likely as chronic stress often leads to fatigue. Increased cognitive awareness (
D) is not a common finding with chronic stress, as it can impair cognitive function.
Question 2 of 5
A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Providing for adequate hydration and rest. The priority in caring for a client with alcohol use disorder is addressing physical needs like hydration and rest to manage withdrawal symptoms and prevent complications. Hydration helps prevent dehydration and electrolyte imbalances, while rest supports the body's healing process.
Choices A, C, and D focus on psychological aspects, which are important but secondary to addressing immediate physical needs. Helping the client identify positive traits can come later in therapy, confronting denial and defense mechanisms can be addressed once the client is stabilized, and educating about consequences is important but not as urgent as ensuring hydration and rest.
Question 3 of 5
A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?
Correct Answer: C
Rationale: The correct answer is C: Plan the client's schedule to allow time for rituals. This is the most appropriate action as it acknowledges the client's need for engaging in compulsive behaviors while also structuring the time effectively. Isolating the client (
Choice
A) would be counterproductive, as social isolation can exacerbate OCD symptoms. Confronting the client (
Choice
B) may lead to increased anxiety and resistance. Setting strict limits (
Choice
D) can cause distress and potential non-compliance. The key is to support the client by incorporating their rituals into the schedule while working towards gradually reducing them in a therapeutic manner.
Question 4 of 5
A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client for a while. This is the most therapeutic action as it provides immediate support and reassurance to the client experiencing panic-level anxiety. Remaining with the client allows the nurse to offer a calming presence, demonstrate empathy, and help the client feel safe and supported. It also helps to establish a therapeutic relationship and can assist in de-escalating the client's anxiety.
A: Suggesting the client rest in bed may not address the client's immediate emotional needs and could be perceived as dismissive.
C: Medicating the client with a sedative should only be done after a thorough assessment by a healthcare provider and is not the initial therapeutic action.
D: Having the client join a therapy group may be overwhelming for someone experiencing panic-level anxiety and may not be the most appropriate intervention at this time.
Question 5 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Rationale: The correct response is D because it acknowledges the client's fear and validates their emotions. By reflecting back the client's statement, the nurse shows empathy and understanding. This approach helps build trust and rapport with the client, fostering open communication.
Choice A is dismissive and does not address the client's feelings.
Choice B is invalidating and can increase the client's anxiety.
Choice C deflects the client's emotions instead of addressing them directly. In summary, option D is the best response as it demonstrates active listening and empathy, promoting a therapeutic nurse-client relationship.