ATI RN
ATI RN Mental Health Asn Questions
Question 1 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Identify precipitating factors for ritualistic behaviors. This is the first step because understanding the triggers for the client's OCD behaviors can help the nurse develop a targeted care plan. By identifying what causes the rituals, the nurse can work on strategies to address these triggers and help the client manage their symptoms effectively. Discussing coping strategies (
A) or relaxation techniques (
C) without understanding the triggers may not be as effective. Providing a structured activity schedule (
D) may be helpful, but it is not the priority at this stage.
Question 2 of 5
A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer diazepam. This is the first action the nurse should take because delirium tremens is a severe form of alcohol withdrawal that can lead to life-threatening complications such as seizures and hallucinations. Diazepam is a benzodiazepine medication that helps to control the symptoms of alcohol withdrawal by calming the central nervous system. Administering diazepam promptly can prevent the client from experiencing severe symptoms and reduce the risk of complications.
Raising the side rails of the bed (
B) may be important for safety but is not the first priority in managing delirium tremens. Obtaining a medical history (
C) is important for overall assessment but is not the immediate action needed in this critical situation. Starting intravenous fluids (
D) may be necessary to maintain hydration but does not address the urgent need to manage the symptoms of delirium tremens.
Question 3 of 5
A nurse is admitting a client to an alcohol abuse program. The client states, "I'm here because of my boss. It was part of my job to go to parties and drink with clients.” The client's statement is an example of which of the following defense mechanisms?
Correct Answer: C
Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where individuals justify their behavior with logical reasoning to avoid facing the real reasons behind their actions. In this case, the client is justifying their alcohol abuse by attributing it to a work-related obligation, rather than acknowledging personal responsibility. Reaction formation (
A) involves expressing the opposite of one's true feelings, which is not evident in the scenario. Compensation (
B) involves making up for perceived deficiencies, which is not described. Suppression (
D) is the conscious effort to push unwanted thoughts or feelings out of awareness, which does not apply here.
Question 4 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Clients with Alzheimer's benefit from structured routines and step-by-step guidance.
Question 5 of 5
A nurse is assessing a parent who lost a 12-year-old child in a car crash 2 years ago. Which of the following findings indicates the client is exhibiting manifestations of prolonged grieving?
Correct Answer: A
Rationale: In prolonged grief, individuals may struggle to move forward and avoid changing their environment.