ATI RN
ATI Mental Health 2023 II Questions
Question 1 of 5
A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client’s recovery?
Correct Answer: D
Rationale: The correct answer is D: The client’s best friend moved away. This factor might interfere with the client's recovery because social support plays a crucial role in managing stress and promoting healing post-surgery. Losing a close friend can lead to feelings of isolation and loneliness, which can exacerbate stress levels and negatively impact recovery.
Summary:
A: Walking the dog daily promotes physical activity, which can be beneficial for recovery.
B: Stopping drinking coffee may be a positive change for health.
C: Exercising in the morning is a healthy habit that can aid in recovery.
D: Losing a close friend can impact emotional well-being and hinder recovery.
Question 2 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C, Recent head injury. This is important to report because bupropion is contraindicated in patients with a history of seizures or head trauma. The medication can lower the seizure threshold, increasing the risk of seizures in such patients. Reporting this finding is crucial to ensure the safety of the client. Hypothyroidism (choice
A) does not have a direct contraindication with bupropion. Knee arthroplasty (choice
B) and Hepatitis B infection (choice
D) are not contraindications for bupropion use.
Question 3 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Document the client’s refusal of the treatment in the medical record. This is the appropriate action because it respects the client's autonomy and right to refuse treatment. It ensures that the refusal is documented for legal and ethical purposes.
Choice A is incorrect as involving the client's family without consent violates confidentiality and autonomy.
Choice B is incorrect as ECT does require informed consent.
Choice D is incorrect because the client, even if involuntarily committed, has the right to refuse treatment.
Question 4 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 known as aversion therapy, where a negative stimulus (the snap of the rubber band) is paired with the unwanted behavior (checking locks excessively) to reduce the behavior over time. By associating discomfort with the thought of checking the locks, the client can learn to stop the behavior.
Choice A: Asking a family member to check the locks enables avoidance rather than addressing the behavior directly.
Choice B: Focusing on abdominal breathing is a relaxation technique, which may not directly address the behavior of checking locks excessively.
Choice C: Keeping a journal of behavior is a monitoring technique but does not actively interrupt or modify the behavior of checking locks.
In summary, choice D is the most appropriate as it directly targets the unwanted behavior and aims to decrease its frequency by introducing a negative consequence.
Question 5 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will use the coping mechanisms that helped me in the past." This statement indicates that the client recognizes the importance of utilizing effective coping strategies that have proven helpful in managing their symptoms of major depressive disorder. By acknowledging the value of past successful coping mechanisms, the client demonstrates an understanding of self-care and proactive management of their condition.
A: "I will stay in bed on days when I feel exhausted." This statement suggests avoidance and isolation, which can exacerbate symptoms of depression.
B: "I will avoid talking about events that upset me." Avoidance of emotions can hinder progress in therapy and addressing underlying issues contributing to depression.
D: "I will rely on my partner to plan out my schedule each day." While support from a partner is beneficial, self-reliance and personal responsibility in self-care are key components in managing depression.