ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: The correct answer is C: "I will develop a decreased physical response to alcohol." This statement indicates understanding of alcohol tolerance, where the body becomes less responsive to the effects of alcohol over time, requiring larger amounts to achieve the same effect.
Choice A is incorrect as alcohol tolerance actually leads to a decreased response, not physical changes when alcohol is not consumed.
Choice B is incorrect as alcohol tolerance does not affect the response to opiates.
Choice D is incorrect as alcohol tolerance is not a medical emergency; it is a gradual adaptation to alcohol consumption.
Question 2 of 5
A nurse is caring for a 48-year-old client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lb and is having difficulty sleeping. Which of the following factors indicate the client is experiencing maladaptive grieving?
Correct Answer: C
Rationale: The correct answer is C: The client has lost 30 lb. This indicates maladaptive grieving as significant weight loss is a common symptom of unresolved grief. This could be due to appetite changes, neglecting self-care, or depression. Losing a considerable amount of weight can impact physical health and well-being, indicating a need for intervention.
Choices A, B, and D are not directly related to maladaptive grieving. Age (
A) and the time since the husband's death (
B) are not definitive indicators of maladaptive grieving. Difficulty sleeping (
D) can be a common symptom of grief but is not as concerning as significant weight loss in this context.
Question 3 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism due to the impact of thyroid hormones on mood regulation. Diagnostic testing for hypothyroidism typically includes measuring levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Pancreatitis (
A) and cholecystitis (
B) are conditions primarily related to the gastrointestinal system and do not typically present with depressive symptoms. Tuberculosis (
C) is an infectious disease affecting the lungs and other organs, but it does not directly cause major depressive episodes.
Therefore, ruling out hypothyroidism through diagnostic testing is the most relevant in this case.
Question 4 of 5
A nurse is speaking with the parents of a 4-year-old child who has a terminal illness. The parents tell the nurse they have taken their son's name off the list for little league baseball next season. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be frustrating for you to have to cancel an activity your son enjoyed." This response shows empathy and acknowledges the parents' feelings without judgment. It validates their emotions and demonstrates understanding of their situation.
Choice B is incorrect because it is dismissive and irrelevant to the parents' emotional state.
Choice C is incorrect as it minimizes the parents' decision and disregards their current feelings.
Choice D is incorrect as it may come off as confrontational and not empathetic towards the parents' emotions. The key is to show empathy and understanding towards the parents' situation, making choice A the most appropriate response.
Question 5 of 5
A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "Tell me more about how you are feeling about your son's activities!" This response demonstrates active listening and empathy, allowing the mother to express her concerns and fears openly. By understanding her perspective, the nurse can provide tailored education and support to address her specific worries regarding her son's activities. This approach fosters trust and collaboration between the nurse and the mother, leading to a more effective care plan for the child.
Incorrect responses:
B: "You might want to use tutors to home-school him." - This response does not address the mother's concerns directly and suggests an extreme solution without exploring the root of her fears.
C: "I agree. His well-being is the most important." - While well-being is essential, this response does not invite further discussion or address the mother's specific worries.
D: "You sound overprotective. Let's talk about this some more." - This response may come off as judgmental and dismissive of the mother's