ATI RN
ATI RN Mental Health 2023 with NGN Questions
Question 1 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: The correct answer is A. A client with mania often exhibits rapid and excessive talking, a common symptom of mania. This behavior is known as pressured speech. Option B, memory loss, is not typically associated with mania but may occur in certain situations. Option C, sleeping over 10 hours a day, is more indicative of depression rather than mania. Option D, expressing feelings of inferiority, is more aligned with symptoms of depression, not mania.
Question 2 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B
Rationale:
Correct Answer: A, B
Rationale:
A: Identifying the client's stressors helps address the root cause of the behavior and provides insight into how to support the client effectively.
B: Talking to the client using short, simple sentences can help de-escalate the situation by promoting clear communication and reducing confusion.
Incorrect
Choices:
C: Speaking to the client in a loud voice can escalate the situation further, increasing agitation and distress.
D: Requesting security guards to restrain the client should be a last resort as it can lead to physical harm and worsen the client's emotional state.
E: Standing directly in front of the client can be perceived as confrontational and may increase the client's feelings of being trapped or threatened.
Question 3 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of the other clients. By assessing the client's intentions, the nurse can determine the level of risk and take appropriate measures to prevent harm.
Choice A is incorrect because exploring stress reduction techniques is not the immediate priority when there is a risk of harm to others.
Choice B is incorrect as role modeling healthy ways to express anger is not as urgent as addressing the current aggressive behavior.
Choice D is incorrect as making a list of things that make the client angry does not address the immediate safety concerns of the other clients.
Overall, the priority in this situation is to assess the client's intentions to prevent harm to others.
Extract:
Medical History
The client was diagnosed with obsessive-compulsive disorder 4 years ago.
Nurses’ Notes
Day 1 of admission at 1300:
The client is withdrawn, exhibits a flat affect, and makes limited eye contact with others. The client’s clothing is dirty and body odor is noted. The client reports sleeping 2 to 3 hours per night and losing 5.4 kg (12 lb) in the last month. The client also reports handwashing for several minutes multiple times per day. The client’s hands are noted to be red, but the skin is intact. The client is constantly folding and unfolding a small piece of paper during conversation. The client refuses to leave the room or eat lunch and declines the offer to watch a movie in the day room with peers. The client also declines the offer to take a shower at this time.
Day 3 of admission at 1835:
The client showered this morning without prompting. The client ate 75% of lunch and dinner in the day room with peers. The client’s hands remain reddened with a 1 cm x 1 cm area of peeling skin noted on the center of the right palm. The client’s affect rapidly changed throughout the afternoon and early evening; the client is now talkative and appears content. The client was overheard speaking to their sibling on the phone a few minutes ago, telling their sibling they could have the client’s car.
Provider Prescriptions
Day 1 of admission: Fluvoxamine 100 mg PO at bedtime Buspirone 10 mg PO twice daily Paroxetine 20 mg PO daily
Question 4 of 5
A nurse on an inpatient mental health unit is caring for a client.Exhibits:The nurse is discussing the assessment findings on day 3 of admission during the 1900 change of-shift report. For each finding, specify whether the finding indicates potential improvement in or worsening of the client’s condition.
| Options | Indicates potential improvement | Indicates potential worsening |
|---|---|---|
| Giving away car | ||
| Hygiene | ||
| Food intake | ||
| Condition of skin on right hand | ||
| Rapid change in mood |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Giving away car (1): Potential worsening, as it may indicate a lack of attachment or impulsivity.
- Hygiene (0): No indication provided regarding improvement or worsening based on hygiene.
- Food intake (1): Potential improvement if the client is eating well and maintaining nutrition.
- Condition of skin on right hand (1): Potential worsening if there are signs of self-harm or neglect.
- Rapid change in mood (0): Not listed in the provided options for assessment findings.
Summary:
- A, C, D are the correct answers as they provide indications of potential improvement or worsening in the client's condition.
- B and E are not relevant to the assessment findings provided in the question.
Extract:
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when supporting the client's refusal of medications?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to respecting the client's right to make their own decisions about their treatment. By supporting the client's refusal of medications, the nurse is upholding the principle of autonomy and acknowledging the client's right to choose what happens to their own body. This empowers the client and promotes self-determination.
Other choices are incorrect because:
B: Beneficence focuses on doing good for the client, which would involve ensuring the client receives necessary treatment.
C: Veracity relates to truth-telling, not the client's right to refuse treatment.
D: Justice is about fairness and equal treatment, not specifically related to respecting the client's autonomy.