ATI RN
ATI Mental Health Exam II Questions
Question 1 of 5
An acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: A
Rationale: The correct answer is A because disorganized speech is a common symptom of acute mania in bipolar disorder. It reflects racing thoughts and pressured speech, which are characteristic of manic episodes.
Choice B suggests hallucinations, which can occur in mania but are not specific to it.
Choice C indicates weight gain, which is more associated with depressive episodes.
Choice D is irrelevant to the diagnosis of acute mania.
Question 2 of 5
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct Answer: A
Rationale: The correct answer is A: Identify the client's nutritional status. The first priority for this client is to assess their nutritional status to determine if the weight loss is due to malnutrition or an underlying health issue. This is crucial for developing an appropriate care plan.
Choice B (Provide a structured environment) is not the first priority as it does not address the client's immediate health concerns.
Choice C (Plan a therapeutic diet) is premature without first assessing the client's nutritional status.
Choice D (Request a mental health consult) is important but should come after addressing the client's physical needs.
Question 3 of 5
A nurse is caring for a client who is hospitalized and says to the nurse, 'My partner called and told me my boss hired someone to take my place.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct
Answer: C - "You must feel very concerned and disappointed by that information."
Rationale: This response validates the client's feelings without making assumptions or judgments. It acknowledges the client's emotional state and shows empathy, which is crucial in providing effective emotional support. By expressing understanding and concern, the nurse can help the client feel heard and supported during a distressing time.
Incorrect Answers:
A: Invalidates the client's feelings and dismisses the issue.
B: Assumes the client wants the job back and may not be helpful in addressing the emotional distress.
D: Fails to acknowledge the client's emotions and may come off as dismissive or insensitive.
Question 4 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "It sounds like you're having a difficult time." This response shows empathy and validation, acknowledging the client's feelings without judgment. It can help the client feel understood and supported.
Choice A focuses on duration but lacks empathy.
Choice B may come off as accusatory.
Choice C assumes the client has not discussed the issue with their parents. Summarily, D is the best choice as it shows empathy and support for the client's emotions.
Question 5 of 5
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing interventions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Schedule regular weigh-in times. This intervention is important in monitoring the client's weight changes, which is crucial in managing anorexia nervosa. Regular weigh-ins help track progress and identify any potential health concerns. Allowing the client to eat at any time (
B) may not promote a structured eating routine essential for recovery. Providing privacy when friends visit (
C) is important for maintaining the client's dignity but does not directly address the client's nutritional needs. Complimenting the client for weight gain (
D) may unintentionally reinforce disordered eating behaviors.