ATI RN
RN Mental Health Bipolar Disorder ATI Questions
Question 1 of 5
When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Correct Answer: C
Rationale: The correct answer is C: Advocacy. The nurses have advocated for the care of persons diagnosed with mental illness by writing letters to their elected representatives in opposition to the legislation that reduces funding for mental health care. Advocacy involves actively supporting a cause or policy to influence decision-makers for the betterment of a specific group or issue. In this scenario, the nurses have demonstrated advocacy by speaking out on behalf of individuals with mental illness to protect their access to necessary care and support.
Choices A, B, and D are incorrect because they do not accurately describe the nurses' actions in this context.
Question 2 of 5
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
Correct Answer: B
Rationale: The correct answer is B: Ego integrity. Ego integrity is a developmental concept typically associated with late adulthood (65+ years) according to Erikson's psychosocial theory. In the age range of 25-50 years, individuals are more focused on addressing challenges related to identity, generativity, and intimacy. Identity refers to establishing a sense of self, generativity involves contributing to society and future generations, and intimacy pertains to forming close relationships. Ego integrity, on the other hand, involves reflecting on one's life and accepting the outcomes, which is not a primary focus for individuals in the 25-50 age group.
Question 3 of 5
A patient diagnosed with major depressive disorder has lost 20 pounds in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken antidepressant medication for 1 week. Which nursing intervention has the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Implement suicide precautions. This is the highest priority intervention because the patient has a plan for suicide, which poses an immediate risk to their safety. Implementing suicide precautions involves ensuring the patient's safety by removing any potential means of self-harm, closely monitoring their behavior, and providing constant supervision to prevent any suicide attempts.
Choice B is incorrect because offering high-calorie snacks and fluids frequently does not address the immediate risk of suicide.
Choice C is incorrect because assisting the patient to identify personal strengths is important for building self-esteem but is not the highest priority when the patient is at risk of suicide.
Choice D is incorrect because observing the patient for therapeutic effects of antidepressant medication is important but ensuring the patient's safety takes precedence when there is a risk of suicide.
Question 4 of 5
An adult client has described a personal loss. Before touching the client to offer comfort, what should the nurse consider?
Correct Answer: B
Rationale: The correct answer is B: the client's cultural background. Before touching the client to offer comfort, the nurse should consider the client's cultural background to ensure that the gesture is appropriate and respectful. Different cultures have varying attitudes towards touch, and what may be comforting in one culture could be inappropriate or invasive in another. Understanding the client's cultural background helps the nurse provide culturally sensitive care.
Incorrect choices:
A: the client's recent vital signs - Vital signs are important for assessing physical health, but they are not directly relevant to offering comfort through touch in this situation.
C: if the doctor should be notified - Notifying the doctor is not necessary before offering comfort through touch. It is more important to consider the client's needs and preferences.
D: if the client has been sad recently - While the client's emotional state is important, it is not the primary consideration before offering comfort through touch. Cultural background plays a more crucial role in determining the appropriateness of touch.
Question 5 of 5
A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following?
Correct Answer: B
Rationale: The correct answer is B: "I should eat small frequent meals if I get nauseated." This is correct because methadone can cause nausea as a side effect, and eating small, frequent meals can help alleviate this symptom. Option A is incorrect because alcohol should be avoided while on methadone therapy. Option C is incorrect as methadone should be taken with food to reduce gastrointestinal side effects. Option D is incorrect as constipation, not diarrhea, is a common side effect of methadone therapy.