ATI RN
ATI Mental Health 2023 II Questions
Question 1 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the information to local authorities. This is the appropriate action to ensure the safety of the client's partner. Reporting to local authorities is crucial in cases where harm to others is imminent. Notify the provider (choice
A) prolongs the risk, avoiding reporting due to confidentiality (choice
B) is unethical, and telling risk management (choice
C) may not lead to immediate intervention. Reporting to local authorities is the most direct and effective way to protect the potential victim.
Question 2 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remain with the client for 1 hr after meals. This action is important as it can help prevent purging behaviors and provide emotional support. By staying with the client, the nurse can monitor for any signs of distress, offer reassurance, and help the client cope with any negative feelings that may arise after eating. Weighing the client every other day (
B) may exacerbate anxiety and lead to further disordered eating behaviors. Offering snacks when hungry (
C) may not address the underlying emotional issues associated with binge eating. Planning a menu with the client (
D) may be overwhelming and potentially trigger binge episodes.
Question 3 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
Correct Answer: D
Rationale: The correct answer is D: Snap a rubber band on your wrist when you think about checking the locks. This technique is effective in thought stopping because the physical sensation of snapping the rubber band serves as a distraction and interrupts the obsessive thought pattern related to checking the locks. By associating the act of snapping the rubber band with the thought, the client can become more aware of their thoughts and break the cycle of compulsive behavior.
Incorrect
Choices:
A: Asking a family member to check the locks does not address the underlying issue of obsessive thoughts and may reinforce dependency.
B: Focusing on abdominal breathing is a relaxation technique, not a thought-stopping technique.
C: Keeping a journal may help track behavior but does not actively interrupt the obsessive thoughts.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: A
Rationale: The correct answer is A: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression. Improvement in depressive symptoms indicates the effectiveness of the treatment. Reduced frequency of panic attacks (
B) and seizures (
C) are not directly related to the effectiveness of electroconvulsive therapy for depression. Decreased fear of heights (
D) is not a typical indicator of the effectiveness of this treatment.
Question 5 of 5
A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hypertension. Cocaine is a stimulant drug that increases heart rate and blood pressure.
Therefore, the nurse should expect the client to have hypertension as a result of cocaine use. Bradycardia (
A) is unlikely due to the stimulant effects of cocaine. Lethargy (
C) and hypothermia (
D) are also unlikely as cocaine typically causes increased alertness and can lead to hyperthermia.