ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, C
Rationale:
Answer: A, B, C are correct.
Rationale:
A: Seizures can occur during alcohol withdrawal due to CNS hyperexcitability.
B: Illusions are common manifestations due to altered sensory perception.
C: Tremors are a classic sign of alcohol withdrawal due to CNS hyperactivity.
Summary:
D: Polyphagia (excessive hunger) is not a typical physical effect of alcohol withdrawal.
E: Nystagmus (involuntary eye movements) is not commonly associated with alcohol withdrawal.
Question 2 of 5
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: Ask him to describe what he is feeling. This option encourages the client to express his emotions, which can help alleviate anxiety by providing an outlet for his concerns. By actively listening and acknowledging his feelings, the nurse can establish trust and rapport, leading to better emotional support.
Choice B may provide a temporary distraction but does not address the underlying anxiety.
Choice C may be physically beneficial but does not address the client's emotional state.
Choice D may be helpful for spiritual support but does not directly address the client's anxiety.
Question 3 of 5
A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hour hold is over for which of the following conditions?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The nurse can keep the client in the hospital after the 72-hour hold if the client is deemed a danger to herself or others. This is crucial in ensuring the safety of the client and others. It indicates that the client poses a significant risk of harm, warranting further evaluation and treatment.
Incorrect
Choices:
B: The client's willingness to accept treatment is important, but it does not solely determine if the client can be kept in the hospital.
C: Personal preferences or dislikes are not sufficient reasons to detain a client after the hold is over.
D: Planning to move out of the state does not address the immediate safety concerns that necessitate continued hospitalization.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is running around the unit asking people to dance with her. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Walk the client outside and sit with her in the garden area. This intervention helps the client to redirect their energy in a positive and calming manner. Being outdoors can provide a change of environment, fresh air, and can help the client feel more grounded. It also offers a distraction from the impulsive behavior and promotes relaxation. Turning on a dance video (choice
A) may further stimulate the client's behavior rather than calming them down. Offering a snack (choice
B) may reinforce the behavior and is not addressing the underlying issue. Observing for aggressive behavior (choice
D) is important but does not actively address the client's current behavior.
Question 5 of 5
A nurse is caring for a client who is depressed and refuses to participate in group therapy or perform activities of daily living. Which of the following statements should the nurse make to the client?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because it demonstrates empathy, support, and encouragement. By offering assistance in getting out of bed and getting dressed, the nurse is promoting the client's self-care and well-being. This statement acknowledges the client's feelings while also providing the necessary support to engage in daily activities.
Incorrect
Choices:
B: This choice enables the client's avoidance behavior and does not promote active participation in therapy or self-care.
C: This statement is authoritarian and does not address the client's emotional state or needs, which can worsen the client's depression.
D: This statement is negative and may induce guilt or shame in the client, which is counterproductive in supporting their mental health recovery.