ATI RN
ATI Mental Health Exam 3 Questions
Question 1 of 5
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances,and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
Correct Answer: B
Rationale: The correct answer is B: Generalized anxiety disorder. Symptoms of excessive anxiety and worry in response to various situations that the client is unable to control are characteristic of generalized anxiety disorder. It is a chronic condition that involves persistent and excessive worrying about everyday events. Agoraphobia (choice
A) is characterized by fear of specific places or situations where escape might be difficult. Separation anxiety disorder (choice
C) typically occurs in children and involves excessive fear or anxiety about separation from attachment figures. Panic disorder (choice
D) involves recurrent panic attacks. In this scenario, the client's symptoms align most closely with generalized anxiety disorder due to the pervasive and uncontrollable nature of their worry.
Question 2 of 5
A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?
Correct Answer: B
Rationale: The correct answer is B: Sodium. Lithium competes with sodium for reabsorption in the kidneys, leading to decreased sodium levels.
Therefore, it is crucial for the client to maintain an adequate sodium intake to prevent lithium toxicity. Potassium (choice
A) is not directly affected by lithium. Vitamin C (choice
C) and Vitamin K (choice
D) do not have specific interactions with lithium. Sodium is the essential element to focus on in this scenario.
Question 3 of 5
A patient with bipolar II disorder is most likely to experience:
Correct Answer: C
Rationale: The correct answer is C. In bipolar II disorder, patients experience hypomanic episodes alternating with major depressive episodes. This is because bipolar II is characterized by recurrent episodes of hypomania (less severe than full manic episodes) and major depression. Patients do not experience full manic episodes (choice
D) or persistent low-grade depression without hypomania (choice
A). Psychosis during manic episodes (choice
B) is more commonly associated with bipolar I disorder.
Therefore, choice C is the most likely experience for a patient with bipolar II disorder.
Question 4 of 5
A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Provide a structured environment with predictable routines and consistent staff. This intervention is most appropriate for a client with PTSD experiencing exaggerated startle response, paranoia, and hypervigilance. A structured environment creates a sense of safety and security, helping to reduce anxiety and paranoia. Predictable routines can help the client feel more in control and less overwhelmed by unexpected triggers. Consistent staff members build trust and familiarity, which can decrease hypervigilance and paranoia.
Other choices are incorrect because:
A: Referring the client to a support group may be beneficial, but it does not directly address the client's immediate needs related to exaggerated startle response, paranoia, and hypervigilance.
B: Mindfulness meditation may help with overall anxiety management but may not be as effective in addressing the specific symptoms mentioned.
D: Administering sedative medication as needed may provide temporary relief but does not address the underlying issues or promote long-term coping strategies
Question 5 of 5
Which patient is at the highest risk of developing postpartum depression?
Correct Answer: C
Rationale: The correct answer is C - a mother with a history of depression and minimal social support is at the highest risk of developing postpartum depression. This is because having a history of depression increases the likelihood of experiencing postpartum depression. Additionally, minimal social support can exacerbate feelings of isolation and overwhelm, contributing to the development of postpartum depression.
A: A mother who had a healthy pregnancy and delivery may still develop postpartum depression due to various factors, but it is not the highest risk factor.
B: A first-time mother with a supportive partner may have lower risk compared to other options, as having social support can be protective against postpartum depression.
D: A mother with no family history of mental illness may still develop postpartum depression based on other risk factors, but it is not the highest risk factor.